WO2021203758A1 - Remote program control method and system for implantable medical device - Google Patents

Abstract

A remote program control method and system for an implantable medical device. The system comprises a patient terminal (1), a first doctor terminal (3), a second doctor terminal (4), and a server (2). The patient terminal (1) receives a first control instruction sent by the first doctor terminal (3) by means of a first control connection, and the patient terminal (1) forwards the first control instruction to a controller (5) of the implantable medical device, implementing remote program control treatment of the implantable medical device. When the first doctor terminal (3) cannot finish treatment for a patient, the first doctor terminal (3) initiates an assistance request to the second doctor terminal (4), and then a second control instruction is issued to the patient terminal (1) by means of control connection between the second doctor terminal (4) and the patient terminal (1) to treat the patient, so that remote program control of the implantable medical device is more convenient and effective.

Description

Remote program control method and system for implanted medical equipment Technical field

The invention relates to the field of medical technology, in particular to a remote program control method and system for implantable medical equipment.

Background technique

Implantable Medical Device (IMD) is a device that is installed in the patient's body and relies on stimulus information such as set programs and operating parameters to treat the patient's body. The stimulus information includes IMD battery voltage, Running time, power, etc. During the treatment of implantable medical equipment, patients need to go to the hospital for follow-up regularly after the operation. The doctor combines the patient’s actual symptoms and the IMD stimulation information obtained by the program controller to monitor the patient’s condition on a regular basis; or directly adopt a program-controlled way to pass The program-controlled instrument adjusts the stimulus information so that the patient can receive more effective treatment.

In the existing medical hierarchical diagnosis and treatment remote program control system, patients can make appointments to doctors through terminal equipment, and the doctors can remotely program the IMD to achieve the purpose of remote treatment, improve the convenience of using IMD equipment, and save patients. The inconvenience and hardship of going to the hospital for follow-up. However, when the patient's condition is complicated and the doctor who made the appointment cannot take the corresponding treatment in time, the patient is required to re-appoint another doctor, thereby prolonging the treatment time of the patient, and even causing the patient to lose his life due to missing the best treatment time. Therefore, there is an urgent need for a remote program control method for implantable medical equipment, which can achieve the most effective treatment time for patients while realizing IMD remote program control.

Summary of the invention

In view of this, the purpose of the present invention is to provide a remote programming method and system for implantable medical equipment, which can not only realize the remote programming function of IMD, but also can be treated by other doctors when the patient's appointment cannot be treated in time. Reduce the operation process and operation time for patients to re-appoint other doctors, and make the remote program control of IMD more convenient and effective.

In the first aspect, a remote program control method of an implantable medical device according to an embodiment of the present invention includes:

The patient terminal initiates a connection request to the reserved first doctor terminal;

In response to the connection request, the first doctor terminal establishes a first control connection and a first multimedia data connection with the patient terminal, and the first multimedia data connection is used to connect the patient terminal to the patient terminal. Said the first doctor terminal transmits multimedia information;

Receiving, by the patient terminal, the first control instruction sent by the first doctor terminal through the first control connection;

The patient terminal forwards the first control instruction to the controller of the implantable medical device;

The first doctor terminal sends an assistance request to the second doctor terminal;

In response to the assistance request, the second doctor terminal establishes a second multimedia data connection with the patient terminal and the first doctor terminal, and the second multimedia data connection is used to connect to the patient terminal and the first doctor terminal. Transmission of multimedia information between a doctor terminal and a second doctor terminal;

Establishing a second control connection between the second doctor terminal and the patient terminal;

Receiving, by the patient terminal, a second control instruction sent by the second doctor terminal through the second control connection;

The patient terminal forwards the second control instruction to the controller of the implantable medical device.

Further, before the patient terminal initiates a connection request to the reserved first doctor terminal, the method further includes:

The patient terminal sends an appointment request, where the appointment request includes the identifier of the first doctor terminal who made the appointment;

The server performs information matching on the identification of the first doctor terminal according to the appointment request;

In response to the successful matching of the information, the server issues the authority to establish the first control connection to the first doctor terminal.

Further, after the first doctor terminal sends an assistance request to the reserved second doctor terminal, the method further includes:

The first doctor terminal sends a permission transfer request;

In response to the authority transfer request, the server disconnects the first control connection between the first doctor terminal and the patient terminal;

The server issues the authority to establish the second control connection to the second doctor terminal.

Further, after the first doctor terminal sends an assistance request to the reserved second doctor terminal, the method further includes:

Sending a second control connection request by the second doctor terminal;

In response to the second control connection request, the server disconnects the first control connection between the first doctor terminal and the patient terminal, and issues the authority to establish the second control connection to the second doctor terminal.

Further, the method further includes:

The patient terminal sends a medical record sharing instruction, where the medical record sharing instruction includes the patient's medical record information;

In response to the medical record sharing instruction, the server records the medical record information in the blockchain;

The server obtains the smart contract address used to access the medical record information and the effective access time of the smart contract address, generates an effective access address, and delivers the effective access address to the first doctor terminal;

The first doctor terminal obtains the medical record information according to the effective access address.

Further, when the first doctor terminal establishes the first control connection with the patient terminal, it also establishes a remote teaching connection with the student terminal, and the teaching connection includes:

The first doctor terminal initiates a viewing invitation request to the student terminal;

The student terminal responds to the viewing invitation request and enters the remote teaching.

In the second aspect, a remote program control system for implantable medical equipment according to an embodiment of the present invention includes:

The patient terminal is configured to send a connection request, receive a first control instruction and a second control instruction, and forward the first control instruction and the second control instruction to the controller of the implantable medical device;

A first doctor terminal configured to establish a first control connection and a first multimedia data connection with the patient terminal in response to the connection request, the first control connection being used to send the first control instruction, The first multimedia data connection is used to transmit multimedia information between the patient terminal and a first doctor terminal; wherein, the first doctor terminal is also configured to send an assistance request;

The second doctor terminal is configured to, in response to the assistance request, establish a second multimedia data connection with the patient terminal and the first doctor terminal, establish a second control connection with the patient terminal, and the second doctor terminal The media data connection is used to transmit multimedia information between the patient terminal, the first doctor terminal and the second doctor terminal, and the second control connection is used to send the second control instruction; and

The server is configured to forward information among the patient terminal, the first doctor terminal, and the second doctor terminal.

Further, the patient terminal is further configured to send an appointment request, and the appointment request includes the identification of the first doctor terminal of the appointment;

The server is further configured to perform information matching on the identification of the first doctor terminal according to the appointment request, and in response to the success of the information matching, issue the authority to establish the first control connection to the first doctor terminal.

Further, the first doctor terminal is also configured to send a permission transfer request to the server;

The server is further configured to, in response to the authority transfer request, disconnect the first control connection between the first doctor terminal and the patient terminal, and issue the authority to establish the second control connection to the second doctor terminal .

Further, the second doctor terminal is also configured to send a second control connection request to the server;

The server is further configured to, in response to the second control connection request, disconnect the first control connection between the first doctor terminal and the patient terminal, and issue the establishment of the second control connection to the second doctor terminal permission.

Further, the patient terminal is further configured to send a medical record sharing instruction, and the medical record sharing instruction includes the patient's medical record information;

The server is further configured to record the medical record information in the blockchain in response to the medical record sharing instruction, obtain the smart contract address for the user to access the medical record information and the effective access time of the smart contract address, and generate An effective visit address, sending the effective visit address to the first doctor terminal;

The first doctor terminal is also configured to obtain the medical record information according to the effective access address.

Further, the system also includes a student terminal;

The first doctor terminal is also configured to establish a remote teaching connection with the student terminal;

The server is also configured to forward information between the first doctor terminal and the student terminal;

Wherein, the remote teaching connection includes the first doctor terminal sending a viewing invitation request to the student terminal, and the student terminal enters the remote teaching in response to the viewing request.

The technical solution of the embodiment of the present invention establishes a first control connection and a multimedia data connection between the patient terminal and the first doctor terminal through the connection request of the patient terminal, so that the patient terminal receives the first control instruction sent by the first doctor terminal through the first control connection , And the patient terminal forwards the first control instruction to the controller of the implantable medical device to realize the remote program-controlled treatment of the implantable medical device. When the first doctor terminal cannot complete the treatment for the patient, an assistance request is initiated to the second doctor terminal, and the second control command is issued to the patient terminal through the control connection between the second doctor terminal and the patient terminal to treat the patient. As a result, not only can the IMD remote program control function be realized, but also when the first doctor terminal cannot complete the patient treatment, other doctors can perform the treatment, reducing the operation process and operation time for the patient to re-appoint other doctors, and making the remote program control of the IMD more convenient and more convenient. efficient.

Description of the drawings

Through the following description of the embodiments of the present invention with reference to the accompanying drawings, the above and other objectives, features and advantages of the present invention will be clearer. In the accompanying drawings:

Figure 1 is a schematic diagram of the system structure of an embodiment of the present invention;

2 is a flowchart of a remote program control method for implantable medical equipment according to an embodiment of the present invention;

FIG. 3 is a flowchart of the first doctor terminal obtaining the first control connection authority according to the embodiment of the present invention;

FIG. 4 is a flowchart of medical record sharing according to an embodiment of the present invention;

FIG. 5 is a flowchart of a first doctor terminal sending an assistance request to a second doctor terminal in an embodiment of the present invention;

Fig. 6 is a schematic diagram of a display interface of an embodiment of the present invention;

FIG. 7 is a flowchart of transferring control connection authority from a first doctor terminal to a second doctor terminal according to an embodiment of the present invention;

FIG. 8 is a flowchart of a second doctor terminal actively acquiring control connection authority according to an embodiment of the present invention;

9 is a schematic diagram of the system structure of the remote teaching system according to an embodiment of the present invention;

Fig. 10 is a schematic diagram of the system structure of an embodiment of the present invention applied in distance education.

In the figure: 1. Patient terminal; 2. Server; 3. First doctor terminal; 4. Second doctor terminal; 5. Implantable medical equipment; 6. Display interface; 7. Doctor terminal; 8. Student terminal.

Detailed ways

The present invention will be described below based on examples, but the present invention is not limited to these examples. In the following detailed description of the present invention, some specific details are described in detail. Those skilled in the art can fully understand the present invention without the description of these details. In order to avoid obscuring the essence of the present invention, the well-known methods, processes, procedures, components and circuits are not described in detail.

In addition, those of ordinary skill in the art should understand that the drawings provided herein are for illustrative purposes, and the drawings are not necessarily drawn to scale.

Unless clearly required by the context, similar words such as "including" and "including" in the specification should be interpreted as inclusive rather than exclusive or exhaustive meanings; that is to say, "including but not limited to".

In the description of the present invention, it should be understood that the terms "first", "second", etc. are only used for descriptive purposes, and cannot be understood as indicating or implying relative importance. In addition, in the description of the present invention, unless otherwise specified, "plurality" means two or more.

Fig. 1 is a schematic diagram of the system structure of an embodiment of the present invention. As shown in Figure 1, the remote program control system for implantable medical equipment includes a patient terminal 1, a server 2, a first doctor terminal 3, and a second doctor terminal 4. The patient terminal 1 and the first doctor terminal 3 and the second doctor terminal 4 Communication and connection through the server 2 between. The patient terminal 1 is wirelessly connected to the controller of the implantable medical device 5 (IMD) for communication. Preferably, the patient terminal 1 and the controller are connected via Bluetooth. The patient terminal 1 may be a mobile phone, a PC, or a tablet computer that can interact with each other. The first doctor terminal 3 and the second doctor terminal 4 include equipment such as a PC, a camera, and a voice recorder.

In this embodiment, the patient terminal 1 is configured to send a connection request, receive the first control instruction and the second control instruction, and forward the first control instruction and the second control instruction to the controller of the IMD.

The first doctor terminal 3 is configured to establish a first control connection and a first multimedia data connection with the patient terminal 1 in response to the connection request, and the first control connection is used to send the first control instruction, the first multimedia The data connection is used to transmit multimedia information between the patient terminal 1 and the first doctor terminal 3.

The first doctor terminal 3 is also configured to send an assistance request to the second doctor terminal 4.

The second doctor terminal 4 is configured to, in response to the assistance request, establish a second multimedia data connection with the patient terminal 1 and the first doctor terminal 3, establish a second control connection with the patient terminal 1, and use the second multimedia data connection To transmit multimedia information between the patient terminal 1, the first doctor terminal 3 and the second doctor terminal 4, the second control connection is used to send a second control command.

The server 2 includes an appointment processing unit, a medical record sharing unit, a control unit, an authority transfer unit, and an information forwarding unit. The information forwarding unit is used to forward information between the patient terminal 1, the first doctor terminal 3, and the second doctor terminal 4. The reservation processing unit is configured to process the reservation request of the patient terminal 1. The medical record sharing unit is used to enable the first doctor terminal 3 and the second doctor terminal 4 to obtain the patient's medical record information. The control unit is used to establish a control connection and a multimedia data connection between the patient terminal 1, the first doctor terminal 3 and the second doctor terminal 4, and issue the first control instruction and the second control instruction to remotely program the IMD. The authority transfer unit is used to transfer the authority of the first doctor terminal 3 to establish a control connection to the second doctor terminal 4 when the first doctor cannot complete the patient treatment, so that the second doctor terminal 4 can establish a second control connection with the patient terminal 1 , And then remotely program the IMD.

It should be understood that the first doctor is an appointment doctor selected by the patient through the system, and the second doctor is a doctor other than the appointment doctor in the system, and the second doctor terminal 4 may be provided with multiple. As a result, when a doctor is involved in the remote program control of the appointment doctor and still cannot complete the treatment, he can continue to send assistance requests to other doctors in the system to ensure that the patient can receive timely and effective treatment and further improve the performance of the system.

In this embodiment, the patient first makes an appointment with the first doctor through the patient terminal 1, and the first doctor terminal 3 sends a control instruction to the IMD controller through the patient terminal 1 to realize the remote program control of the IMD, thereby achieving the purpose of treatment. When the first doctor is unable to complete the treatment due to the patient’s complex condition or other reasons, there is no need for the patient to make an appointment again. The first doctor directly sends an assistance request to the second doctor, and the second doctor issues control instructions to the patient terminal 1, and then The patient terminal 1 forwards the control instructions to the IMD controller to realize the remote program control of the IMD, so that the patient can receive timely treatment. As a result, the system adopts a combination of remote program control and remote assistance. On the basis of remote program control, it can reduce the operation process and operation time of patients re-appointing other doctors, making the remote program control of IMD more convenient, time-consuming and effective.

Fig. 2 is a flowchart of a remote program control method of an implantable medical device according to an embodiment of the present invention. As shown in FIG. 2, in step S100, the patient terminal 1 initiates a connection request to the first doctor terminal 3 of the reservation.

In step S200, the first doctor terminal 3 establishes a first control connection and a first multimedia data connection with the patient terminal 1 in response to the connection request, and the first multimedia data connection is used to connect the patient terminal 1 and the first doctor terminal 3 transfer multimedia information. It should be understood that the first multimedia data connection may be a video or audio connection, which is used for interactive communication between the patient and the first doctor, so that the first doctor can understand the patient's condition.

In step S300, the patient terminal 1 receives the first control instruction sent by the first doctor terminal 3 through the first control connection. Specifically, the first control instruction includes an IMD parameter adjustment instruction, specifically: parameters of the stimulation pulse signal, such as the number of channels, amplitude, pulse width, and frequency of the pulse signal.

In step S400, the patient terminal 1 forwards the first control instruction to the controller of the IMD.

In step S500, the first doctor terminal 3 sends an assistance request to the second doctor terminal 4.

In step S600, in response to the assistance request, the second doctor terminal 4 establishes a second multimedia data connection with the patient terminal 1 and the first doctor terminal 3. The second multimedia data connection is used to connect to the patient terminal 1, the first doctor The terminal 3 and the second doctor terminal 4 transmit multimedia information. It should be understood that the second multimedia data connection can be a video or audio connection, which is used for interactive communication between the patient terminal 1, the first doctor terminal 3, and the second doctor terminal 4 to realize multi-party consultation, which is convenient for understanding the patient’s condition and early Treatment to improve the efficiency of IMD remote program-controlled treatment.

In step S700, the second doctor terminal 4 establishes a second control connection with the patient terminal 1. Preferably, when establishing the second control connection, the first control connection between the first doctor terminal 3 and the patient terminal 1 needs to be disconnected, and the first doctor transfers all the control authority to the second doctor.

In step S800, the patient terminal 1 receives the second control instruction sent by the second doctor terminal 4 through the second control connection. Specifically, the second control instruction includes an IMD parameter adjustment instruction, which is specifically a parameter of a stimulus pulse signal, such as the number of channels, amplitude, pulse width, and frequency of the pulse signal. At the same time, in order to facilitate the first doctor to understand the specific treatment process, the operation interface of the second doctor's terminal 4 can be synchronously displayed on the display interface of the first doctor's terminal 3 through the server 2.

In step S900, the patient terminal 1 forwards the second control instruction to the controller of the IMD.

In this embodiment, through the first control connection and the first multimedia data connection between the patient terminal 1 and the first doctor terminal 3, and the patient terminal 1 forwards the first control instruction to the IMD controller, the IMD is implemented Remote program control. When the first doctor cannot complete the programmed treatment, the first doctor terminal 3 sends an assistance request to the second doctor terminal 4 and establishes a second control connection between the second doctor terminal 4 and the patient terminal 1, so that the patient can receive timely treatment and reduce the number of patients. The operation process and operation time of repeated appointments of doctors make the remote program control of IMD more convenient and effective.

Fig. 3 is a flow chart of the first doctor terminal obtaining the first control connection permission according to the embodiment of the present invention. As shown in FIG. 3, in step S110, the patient terminal 1 sends an appointment request. The appointment request includes the identification of the first doctor terminal 3 of the appointment, appointment time information, and recent patient condition information.

In step S111, the server 2 performs information matching on the identification of the first doctor terminal 3 according to the appointment request. Specifically, the server 2 first obtains the patient's medical record information and the identification information of the first doctor. The identification information of the first doctor includes the field information of the doctor, the information of the department, the service evaluation information, and so on. The server 2 performs matching based on the patient's medical history information, recent medical condition information, and the identification information of the first doctor terminal 3. When the matching degree satisfies a certain condition, it indicates that the information is successfully matched, and it is determined that the first doctor has the control authority. If the information matching is unsuccessful, the server 2 sends a reservation failure message to the patient terminal 1 to end the reservation process.

In step S112, the server 2 sends an invitation request to the first doctor terminal 3 in response to the successful information matching. Specifically, after the information is successfully matched, the server 2 generates an invitation request and sends the invitation request to the first doctor terminal 3. When the first doctor terminal 3 responds and accepts the invitation request, it indicates that the appointment is successful. When the first doctor does not accept the invitation request, the server 2 sends an appointment failure message to the patient terminal 1 to end the appointment process.

In step S113, in response to the success of the appointment, the server 2 issues the first control connection authority to the first doctor terminal 3.

In this embodiment, the patient terminal 1 initiates an appointment and the first doctor terminal 3 responds to the appointment so that the first doctor terminal 3 obtains the first control connection authority, and at the same time, the treatment wishes of the patient and the first doctor are satisfied. Furthermore, by matching the information of the first doctor, we can screen suitable and reliable first doctor information for the patient to facilitate treatment, thereby improving the practicability and convenience of the remote program control system.

Fig. 4 is a flowchart of medical record sharing according to an embodiment of the present invention. As shown in FIG. 4, in step S120, the first doctor terminal 3 sends a medical record sharing request to the patient terminal 1 through the server 2;

In step S121, the patient terminal 1 sends a medical record sharing instruction to the server 2 in response to the medical record sharing request, and the medical record sharing instruction includes the patient's medical record information.

In step S122, the server 2 records the medical record information in the blockchain in response to the medical record sharing instruction.

In step S123, the server 2 obtains the smart contract address for accessing the medical record information and the effective access time of the smart contract address, generates an effective access address, and delivers the effective access address to the first doctor terminal 3.

In step S124, the first doctor terminal 3 obtains medical record information according to the effective access address.

It is easy to understand that after the first doctor's terminal 3 obtains the first control connection authority, the first doctor's terminal 3 needs to combine the patient's medical history information and recent illness information to give a treatment plan, and then the server 2 establishes the first doctor's terminal 3 Connect with the first control of the patient terminal 1. Specifically, the method for the first doctor terminal 3 to obtain the patient's medical record information includes the patient terminal 1 actively sending it directly to the first doctor terminal 3 through the server 2, or sending it to the first doctor terminal 3 through the server 2 after the first doctor terminal 3 sends the medical record sharing request. Doctor terminal 3. Thus, the first doctor terminal 3 can comprehensively understand the patient’s condition information through the patient’s medical history information, recent condition information, and information obtained through multimedia data connections, thereby providing the patient with more effective treatment methods and first control instructions. Further improve the performance of IMD remote program control.

Fig. 5 is a flowchart of the first doctor terminal sending an assistance request to the second doctor terminal in an embodiment of the present invention. As shown in FIG. 5, in step S510, the first doctor terminal 3 sends an assistance request to the second doctor terminal 4 through the server 2.

In step S511, the server 2 performs matching according to the patient's medical history information, recent medical condition information, and service information of the second doctor. If the information is matched successfully, it is determined that the second doctor has the consultation authority.

In step S512, the server 2 sends an invitation request to the second doctor terminal 4 in response to the successful information matching. Specifically, after the information is successfully matched, the server 2 generates an invitation request and sends the invitation request to the second doctor terminal 4. When the second doctor terminal 4 responds and accepts the invitation request, indicating that the invitation is successful, the server 2 sends a message indicating the success of the invitation to the patient terminal 1 and the first doctor terminal 3 to start a tripartite consultation of the patient, the first doctor and the second doctor.

In step S513, the second doctor terminal 4 obtains the patient's medical record information, and establishes a second multimedia data connection with the patient terminal 1 and the first doctor terminal 3. The second multimedia data connection may be a video or audio connection, which is used to transmit multimedia information between the patient terminal 1, the first doctor terminal 3, and the second doctor terminal 4. It should be understood that the second doctor terminal 4 obtains the patient's medical record information in various ways. The second doctor terminal 4 may automatically or actively send a medical record sharing request to the patient terminal 1 or the first doctor terminal 3, and then communicate with the first doctor terminal 3. Obtain the patient's medical record information in the same way.

It should be noted that there are multiple second doctor terminals 4 provided. Therefore, when the patient’s condition is complicated and the first doctor and the first second doctor cannot complete timely and effective treatment of the patient, the first second doctor can send an assistance request to the second second doctor and perform the above steps. Or by analogy, finally realize the treatment of patients. It is easy to understand that the expression "first place, second place" does not specifically refer to a certain doctor, but only to distinguish the second doctor who participated in the consultation in the order of priority.

Specifically, during the remote program control of the second doctor terminal 4, the display interfaces 6 of the first doctor terminal 3 and the second doctor terminal 4 can synchronously display the operation of the second doctor terminal 4. The first doctor terminal 3 and the second doctor terminal 4 will also generate corresponding medical records through the server 2 based on the diagnosis records and control operations of the patient's condition, and store them in the blockchain together with the patient's medical record information. Therefore, the method of this embodiment not only facilitates the first doctor terminal 3 to obtain real-time treatment information, and facilitates the learning of the first doctor terminal 3, but also stores information through the blockchain to improve the safety and reliability of system data storage, which is convenient for later The safe transfer of data provides convenience for the follow-up treatment of patients.

Fig. 6 is a schematic diagram of a display interface of an embodiment of the present invention. As shown in FIG. 6, it should be understood that the display interfaces 6 of the first doctor terminal 3 and the second doctor terminal 4 both include a patient IMD parameter display and operation interface, a patient medical record information interface, an information interaction interface, and a machine detection interface.

The patient IMD parameter display and operation interface specifically includes: stimulation channel selection module, stimulation pulse parameter setting module, electrode selection module, stimulation mode selection module, waveform display module, temperature display module, impedance detection module, control recording module, program control display module, Patient pulse generator self-check module, patient terminal self-check module, etc.

The patient medical record information interface specifically includes: a medical record access (download) module, a patient information display module, and a diagnosis record module. Among them, the medical record access (download) module is used to obtain and display the patient's electronic medical record. The patient information display module is used to view the patient's appointment information. The diagnosis record module is used to record the patient's diagnosis result.

The information interaction interface specifically includes: a remote video display module, a member addition module, a program-controlled authority exchange module, a voice adjustment module, a text dialogue module, and a file transmission module.

It should be understood that before the second doctor terminal 4 establishes the second control connection with the patient terminal 1, the authority to control the connection needs to be transferred from the first doctor terminal 3 to the second doctor terminal 4, so that the second doctor terminal 4 can directly control the patient. The terminal 1 issues the second control instruction. Specifically, the transfer of the authority to control the connection may be directly transferred from the first doctor terminal 3 to the second doctor terminal 4, or the second doctor terminal 4 may apply for the authority to control the connection.

FIG. 7 is a flowchart of transferring control connection authority from a first doctor terminal to a second doctor terminal according to an embodiment of the present invention. As shown in FIG. 7, in step S520, the first doctor terminal 3 sends a permission transfer request.

In step S521, the server 2 disconnects the first control connection between the first doctor terminal 3 and the patient terminal 1 in response to the authority transfer request.

In step S522, the server 2 issues the authority to establish the second control connection to the second doctor terminal 4.

Therefore, the first doctor terminal 3 of this embodiment actively transfers the authority to establish a control connection with the patient terminal to the second doctor terminal 4, which facilitates the second doctor terminal 4 to issue control instructions to the patient terminal 1 for remote program control of IMD.

Fig. 8 is a flowchart of a second doctor terminal actively acquiring control connection authority in an embodiment of the present invention. As shown in FIG. 8, in step S530, the second doctor terminal 4 sends a second control connection request to the server 2.

In step S531, in response to the second control connection request, the server 2 disconnects the first control connection between the first doctor terminal 3 and the patient terminal 1, and issues the authority to establish the second control connection to the second doctor terminal 4.

Therefore, the second doctor terminal 4 of this embodiment obtains the right to establish a second control connection with the patient terminal 1 in a timely manner by actively sending a permission transfer request, which is convenient for the second doctor terminal 4 to issue control instructions to the patient terminal 1 to perform IMD. The remote program control improves the timeliness of the system and enables patients to receive timely and effective treatment.

The system and method in the embodiment of the present invention can also be applied to remote teaching scenarios. Fig. 9 is a schematic diagram of the system structure of the remote teaching system according to an embodiment of the present invention. As shown in Fig. 9, the remote teaching system includes a doctor terminal 7, a server 2, and a student terminal 8. It should be understood that the doctor terminal 7 in the remote teaching system refers to the first doctor terminal 3 or the second doctor terminal 4 that performs IMD remote program control operations, and the student terminal 7 may be a terminal device of a student or doctor who needs to learn IMD remote program control operations. .

Fig. 10 is a schematic diagram of the system structure of an embodiment of the present invention applied in distance education. As shown in FIG. 10, in step S2010, the doctor terminal 7 establishes a control connection with the patient terminal 1.

In step S2020, the doctor terminal 7 initiates a viewing invitation request to the student terminal 8.

In step S2030, the student terminal 8 responds to the viewing invitation request and enters the remote teaching.

It should be understood that the student terminal 8 with a specific learning identifier can directly obtain the access authority to enter the remote teaching mode. The student terminal 8 without a specific learning logo needs to obtain access rights in advance to participate in the remote teaching mode. Specifically, the doctor terminal 7 edits the teaching group through the server 2 and adds students without a specific learning identifier to the teaching group, so that the students without a specific learning identifier can obtain access rights in the remote teaching mode. In addition, in the remote teaching mode, the display interface of the student terminal 8 can synchronously display the control operation of the doctor terminal 7 and other related information. This solves the problem of distance teaching between doctors and doctors and between doctors and students, and improves the sharing ability of distance teaching resources and the use value of remote program control methods and systems for implantable medical equipment.

The technical solution of the embodiment of the present invention sends the first control instruction by establishing the first control connection between the first doctor terminal and the patient terminal, and then the patient terminal forwards the first control instruction to the IMD controller to realize the remote program control of the IMD treatment. When the first doctor’s terminal cannot complete the treatment, an assistance request is initiated to the second doctor’s terminal, a second control connection between the second doctor’s terminal and the patient’s terminal is established, and the second doctor’s terminal completes the remote program control of the IMD, so that the IMD’s remote program control More convenient, timely and effective. Furthermore, in the remote teaching mode, by sharing the program-controlled operation of the doctor terminal with the student terminal in real time, it can solve the problem of remote teaching between doctors and doctors and between doctors and students, and improve the ability of remote teaching resource sharing and implantable medical equipment The use value of remote program control methods and systems.

As those skilled in the art will realize, some aspects of the present invention can be implemented as a system, a method, or a computer program product. Therefore, some aspects of the present invention can take the following forms: a complete hardware implementation, a complete software implementation (including firmware, resident software, microcode, etc.), or a combination of software and hardware implementations. In addition, aspects of the present invention may take the following form: a computer program product implemented in one or more computer-readable media, the computer-readable medium having computer-readable program code implemented thereon.

Any combination of one or more computer readable media can be utilized. The computer-readable medium may be a computer-readable signal medium or a computer-readable storage medium. The computer-readable storage medium may be, for example, but not limited to, an electronic, magnetic, optical, electromagnetic, infrared, or semiconductor system, device or device, or any appropriate combination of the foregoing. More specific examples (non-exhaustive list) of computer-readable storage media would include the following: electrical connection with one or more wires, portable computer floppy disk, hard disk, random access memory (RAM), read-only memory ( ROM), erasable programmable read-only memory (EPROM or flash memory), optical fiber, portable compact disk read-only memory (CD-ROM), optical storage device, magnetic storage device, or any appropriate combination of the foregoing. In the context of this document, a computer-readable storage medium may be any tangible medium that can contain or store a program used by the instruction execution system, device, or device, or used in conjunction with the instruction execution system, device, or device.

The computer-readable signal medium may include a propagated data signal having computer-readable program code implemented therein as in baseband or as part of a carrier wave. Such a propagated signal can take any of a variety of forms, including but not limited to: electromagnetic, optical, or a suitable combination thereof. The computer-readable signal medium may be any of the following computer-readable media, and may be used by the instruction execution system, device, or device, or used in conjunction with the instruction execution system, device, or device, to communicate, propagate, or transmit.

Any suitable medium including but not limited to wireless, limited, fiber optic cable, RF, etc. or any appropriate combination of the foregoing can be used to transmit the program code implemented on the computer-readable medium.

The computer program code used to perform operations directed to various aspects of the present invention can be written in any combination of one or more programming languages, including: object-oriented programming languages such as Java, Smalltalk, C++, etc.; and conventional Process programming languages such as "C" programming language or similar programming languages. The program code can be used as an independent software package completely on the user's computer, partly executed on the user's computer; partly executed on the user's computer and partly on the remote computer; or completely executed on the remote computer or server. In the latter case, the remote computer may be connected to the user computer through any type of network including a local area network (LAN) or a wide area network (WAN), or may be connected with an external computer (for example, through the Internet of an Internet service provider).

The flowchart illustrations and/or block diagrams of the methods, devices (systems) and computer program products of the embodiments of the present invention describe various aspects of the present invention. It will be understood that each block of the flowchart illustrations and/or block diagrams and combinations of blocks in the flowchart illustrations and/or block diagrams can be implemented by computer program instructions. These computer program instructions can be provided to the processor of a general-purpose computer, a special-purpose computer, or other programmable data processing device, so that the instructions (executed by the processor of the computer or other programmable data processing device) are created for implementing flowcharts and / Or block diagram block or means of the function/action specified in the block.

These computer program instructions can also be stored in a computer-readable medium that can direct a computer, other programmable data processing equipment, or other devices to operate in a specific manner, so that the generation of instructions stored in the computer-readable medium includes implementation in the flowcharts and / Or block diagram block or the product of the instruction of the function/action specified in the block.

Computer program instructions can also be loaded on a computer, other programmable data processing equipment or other devices, so that a series of operable steps are executed on the computer, other programmable equipment or other devices to generate a computer-implemented process, so that the computer Or instructions executed on other programmable devices provide a process for implementing the functions/actions specified in the flowchart and/or block diagrams or blocks.

The above are only preferred embodiments of the present invention and are not used to limit the present invention. For those skilled in the art, the present invention can have various modifications and changes. Any modification, equivalent replacement, improvement, etc. made within the spirit and principle of the present invention should be included in the protection scope of the present invention.

Claims (12)

1. A remote program control method for implantable medical equipment, characterized in that the method includes:

   The patient terminal initiates a connection request to the reserved first doctor terminal;

   In response to the connection request, the first doctor terminal establishes a first multimedia data connection and a first control connection with the patient terminal, and the first multimedia data connection is used to connect the patient terminal to the patient terminal. Said the first doctor terminal transmits multimedia information;

   Receiving, by the patient terminal, the first control instruction sent by the first doctor terminal through the first control connection;

   The patient terminal forwards the first control instruction to the controller of the implantable medical device;

   The first doctor terminal sends an assistance request to the second doctor terminal;

   In response to the assistance request, the second doctor terminal establishes a second multimedia data connection with the patient terminal and the first doctor terminal, and the second multimedia data connection is used to connect to the patient terminal and the first doctor terminal. Transmission of multimedia information between a doctor terminal and a second doctor terminal;

   Establishing a second control connection between the second doctor terminal and the patient terminal;

   Receiving, by the patient terminal, a second control instruction sent by the second doctor terminal through the second control connection;

   The patient terminal forwards the second control instruction to the controller of the implantable medical device.
2. The method according to claim 1, characterized in that, before the patient terminal initiates a connection request to the reserved first doctor terminal, the method further comprises:

   The patient terminal sends an appointment request, where the appointment request includes the identifier of the first doctor terminal who made the appointment;

   The server performs information matching on the identification of the first doctor terminal according to the appointment request;

   In response to the successful matching of the information, the server issues the authority to establish the first control connection to the first doctor terminal.
3. The method according to claim 2, characterized in that, after the first doctor terminal sends an assistance request to the second doctor terminal of the appointment, the method further comprises:

   The first doctor terminal sends a permission transfer request;

   In response to the authority transfer request, the server disconnects the first control connection between the first doctor terminal and the patient terminal;

   The server issues the authority to establish the second control connection to the second doctor terminal.
4. The method according to claim 2, characterized in that, after the first doctor terminal sends an assistance request to the second doctor terminal of the appointment, the method further comprises:

   Sending a second control connection request by the second doctor terminal;

   In response to the second control connection request, the server disconnects the first control connection between the first doctor terminal and the patient terminal, and issues the authority to establish the second control connection to the second doctor terminal.
5. The method according to claim 2, wherein the method further comprises:

   The patient terminal sends a medical record sharing instruction, where the medical record sharing instruction includes the patient's medical record information;

   In response to the medical record sharing instruction, the server records the medical record information in the blockchain;

   The server obtains the smart contract address used to access the medical record information and the effective access time of the smart contract address, generates an effective access address, and delivers the effective access address to the first doctor terminal;

   The first doctor terminal obtains the medical record information according to the effective access address.
6. The method according to claim 1, wherein when the first doctor terminal establishes the first control connection with the patient terminal, it also establishes a remote teaching connection with the student terminal, and the teaching connection comprises:

   The first doctor terminal initiates a viewing invitation request to the student terminal;

   The student terminal responds to the viewing invitation request and enters the remote teaching.
7. A remote program control system for implantable medical equipment, characterized in that the system includes:

   The patient terminal is configured to send a connection request, receive a first control instruction and a second control instruction, and forward the first control instruction and the second control instruction to the controller of the implantable medical device;

   A first doctor terminal configured to establish a first control connection and a first multimedia data connection with the patient terminal in response to the connection request, the first control connection being used to send the first control instruction, The first multimedia data connection is used to transmit multimedia information between the patient terminal and a first doctor terminal, wherein the first doctor terminal is further configured to send an assistance request;

   The second doctor terminal is configured to, in response to the assistance request, establish a second multimedia data connection with the patient terminal and the first doctor terminal, establish a second control connection with the patient terminal, and the second doctor terminal The media data connection is used to transmit multimedia information between the patient terminal, the first doctor terminal and the second doctor terminal, and the second control connection is used to send the second control instruction; and

   The server is configured to forward information among the patient terminal, the first doctor terminal, and the second doctor terminal.
8. The system according to claim 7, wherein the patient terminal is further configured to send an appointment request, and the appointment request includes the identification of the first doctor terminal of the appointment;

   The server is further configured to perform information matching on the identification of the first doctor terminal according to the appointment request, and in response to the success of the information matching, issue the authority to establish the first control connection to the first doctor terminal.
9. The system according to claim 8, wherein the first doctor terminal is further configured to send a permission transfer request to the server;

   The server is further configured to, in response to the authority transfer request, disconnect the first control connection between the first doctor terminal and the patient terminal, and issue the authority to establish the second control connection to the second doctor terminal .
10. The system according to claim 8, wherein the second doctor terminal is further configured to send a second control connection request to the server;

    The server is further configured to, in response to the second control connection request, disconnect the first control connection between the first doctor terminal and the patient terminal, and issue the establishment of the second control connection to the second doctor terminal permission.
11. The system according to claim 8, wherein the patient terminal is further configured to send a medical record sharing instruction, and the medical record sharing instruction includes the patient's medical record information;

    The server is further configured to record the medical record information in the blockchain in response to the medical record sharing instruction, obtain the smart contract address of the user to access the medical record information and the effective access time of the smart contract address, and generate An effective visit address, sending the effective visit address to the first doctor terminal;

    The first doctor terminal is also configured to obtain the medical record information according to the effective access address.
12. The system according to claim 7, wherein the system further comprises a student terminal;

    The first doctor terminal is also configured to establish a remote teaching connection with the student terminal;

    The server is also configured to forward information between the first doctor terminal and the student terminal;

    Wherein, the remote teaching connection includes the first doctor terminal sending a viewing invitation request to the student terminal, and the student terminal enters the remote teaching in response to the viewing request.

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