WO2023138117A1 - Système et procédé de diagnostic et de traitement à distance basés sur un dispositif d'implantation - Google Patents

Système et procédé de diagnostic et de traitement à distance basés sur un dispositif d'implantation Download PDF

Info

Publication number
WO2023138117A1
WO2023138117A1 PCT/CN2022/125082 CN2022125082W WO2023138117A1 WO 2023138117 A1 WO2023138117 A1 WO 2023138117A1 CN 2022125082 W CN2022125082 W CN 2022125082W WO 2023138117 A1 WO2023138117 A1 WO 2023138117A1
Authority
WO
WIPO (PCT)
Prior art keywords
diagnosis
working parameter
management platform
parameter adjustment
treatment
Prior art date
Application number
PCT/CN2022/125082
Other languages
English (en)
Chinese (zh)
Inventor
王倩
Original Assignee
苏州景昱医疗器械有限公司
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by 苏州景昱医疗器械有限公司 filed Critical 苏州景昱医疗器械有限公司
Publication of WO2023138117A1 publication Critical patent/WO2023138117A1/fr

Links

Images

Classifications

    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/40—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management of medical equipment or devices, e.g. scheduling maintenance or upgrades
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/3605—Implantable neurostimulators for stimulating central or peripheral nerve system
    • A61N1/36125—Details of circuitry or electric components
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/3605—Implantable neurostimulators for stimulating central or peripheral nerve system
    • A61N1/36128—Control systems
    • G—PHYSICS
    • G06—COMPUTING; CALCULATING OR COUNTING
    • G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
    • G06Q10/00—Administration; Management
    • G06Q10/02—Reservations, e.g. for tickets, services or events
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/30—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to physical therapies or activities, e.g. physiotherapy, acupressure or exercising
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/20—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/63—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/67—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H80/00—ICT specially adapted for facilitating communication between medical practitioners or patients, e.g. for collaborative diagnosis, therapy or health monitoring

Definitions

  • the embodiment of the present application relates to the technical field of telemedicine, and in particular to a remote diagnosis and treatment system and method based on an implanted device.
  • Neuroscience is one of the most difficult technological difficulties to break through, and humans have never stopped studying it. With the iteration of communication networks, medical materials, and chip technologies, the boundaries of disease treatment have gradually been broken. By implanting devices, new ideas can be provided for the treatment of neurological diseases.
  • the implanted device has built-in working parameters, which can be used to perform targeted work in the patient's body, so as to achieve the purpose of treatment.
  • a brain pacemaker is inserted into the brain nerve nuclei through electrodes, and through continuous electrical pulse stimulation of the nerve nuclei, it can regulate the electrical activity of nerve cells, regulate neuropathy, and achieve therapeutic effects.
  • the working parameters of implanted devices are mainly manually set by medical staff according to the specific disease stage and physical condition of the patient.
  • the working parameters of the implanted devices in the prior art are not flexible enough. When abnormal conditions occur in the patient, the implanted device cannot adjust the working parameters in time to meet the personalized treatment needs of the patient.
  • the purpose of this application is to provide a remote diagnosis and treatment system and method based on implanted equipment, which can timely adjust the working parameters of the implanted equipment in the patient's body through the remote diagnosis and treatment system, which is beneficial for the implanted equipment to provide patients with the best treatment effect and bring good treatment experience to patients.
  • the present application provides a remote diagnosis and treatment system based on an implanted device.
  • the remote diagnosis and treatment system includes a data read-write device, a remote communication device, and a diagnosis and treatment management platform; wherein, the remote communication device interacts with the diagnosis and treatment management platform; the data read-write device interacts with the remote communication device;
  • the diagnosis and treatment management platform is used to obtain a working parameter adjustment instruction, and send the working parameter adjustment instruction to the remote communication device;
  • the remote communication device is configured to receive the working parameter adjustment instruction, analyze the working parameter adjustment instruction, and generate working parameter adjustment information; and send the working parameter adjustment information to the data reading and writing device;
  • the data reading and writing device is used to receive the working parameter adjustment information, and update the working parameters of the implant device according to the working parameter adjustment information; wherein, the working parameters include stimulation points, and the stimulation points are used to control the position where stimulation occurs.
  • the working parameters also include amplitude, pulse width and frequency.
  • the remote diagnosis and treatment system further includes a patient terminal and a medical care terminal; wherein, the patient terminal interacts with the diagnosis and treatment management platform; the medical care terminal interacts with the diagnosis and treatment management platform;
  • the patient terminal is used to send diagnosis and treatment appointment information to the diagnosis and treatment management platform;
  • the diagnosis and treatment management platform is used to receive the diagnosis and treatment reservation information, and determine the medical terminal according to the diagnosis and treatment reservation information;
  • the diagnosis and treatment management platform is further configured to, if a communication request initiated by the medical terminal is detected, forward the communication request to the remote communication device associated with the patient terminal according to the communication request;
  • the remote communication device is further configured to perform video and/or audio communication with the medical terminal according to the communication request.
  • the medical care terminal is further configured to set the working parameter range information of the implanted device, and send the working parameter range information to the diagnosis and treatment management platform;
  • the diagnosis and treatment management platform is also used to receive the working parameter range information, and send the working parameter range information to the patient terminal;
  • the patient terminal is further configured to receive the working parameter range information, and set the working parameters of the implant device according to the working parameter range information.
  • the medical care terminal is further configured to set a timing program of working parameters of the implanted device, and send the timing program of working parameters to the diagnosis and treatment management platform;
  • the diagnosis and treatment management platform is also used to receive the working parameter timing program, and determine the working parameter adjustment time of the implanted device according to the working parameter timing program;
  • the diagnosis and treatment management platform is further configured to generate a working parameter adjustment instruction at the working parameter adjustment time and send it to the remote communication device.
  • diagnosis and treatment management platform is further configured to receive the working parameter timing program, and send the working parameter timing program to the patient terminal;
  • the patient terminal is also used to receive the working parameter timing program, and determine the adjustment time of the working parameter of the implanted device according to the working parameter timing program;
  • the patient terminal is further configured to adjust time according to the working parameters, and send a working parameter adjustment request to the diagnosis and treatment management platform;
  • the diagnosis and treatment management platform is further configured to generate a working parameter adjustment instruction according to the working parameter adjustment request and the working parameter timing program, and send it to the remote communication device.
  • the present application provides a remote diagnosis and treatment method based on an implanted device, and the method is executed by the remote diagnosis and treatment system based on an implanted device;
  • the remote diagnosis and treatment system includes a data reading and writing device, a remote communication device and a diagnosis and treatment management platform; the remote communication device interacts with the diagnosis and treatment management platform; the data reading and writing device interacts with the remote communication device; the method includes:
  • the working parameter adjustment information is received by the data reading and writing device, and the working parameter of the implant device is updated according to the working parameter adjustment information; wherein the working parameter includes a stimulation point, and the stimulation point is used to control the position where stimulation occurs.
  • the remote diagnosis and treatment system further includes a patient terminal and a medical care terminal; wherein, the patient terminal interacts with the diagnosis and treatment management platform; the medical care terminal interacts with the diagnosis and treatment management platform;
  • the method Before obtaining the working parameter adjustment instruction through the diagnosis and treatment management platform, the method also includes:
  • the method further includes:
  • the patient terminal receives the working parameter range information, and sets the working parameter of the implant device according to the working parameter range information.
  • the method before receiving the working parameter adjustment instruction through the remote communication device, the method further includes:
  • a working parameter adjustment instruction is generated at the working parameter adjustment time and sent to the remote communication device.
  • the working parameter adjustment instruction is obtained through the diagnosis and treatment management platform, and the working parameter adjustment instruction is sent to the remote communication device.
  • the remote communication device receives the working parameter adjustment instruction, analyzes the working parameter adjustment instruction, generates the working parameter adjustment information, and sends the working parameter adjustment information to the data reading and writing device.
  • the data reading and writing device receives the working parameter adjustment information, and updates the working parameters of the implanted device according to the working parameter adjustment information.
  • the application can timely adjust the working parameters of the implanted device in the patient through the remote diagnosis and treatment system, which is beneficial for the implanted device to provide the best treatment effect for the patient and bring a good treatment experience to the patient.
  • FIG. 1 is a schematic structural diagram of a remote diagnosis and treatment system based on an implant device provided in Embodiment 1 of the present application;
  • Fig. 2 is a schematic structural diagram of a remote diagnosis and treatment system based on an implant device provided in Embodiment 2 of the present application;
  • Fig. 3 is a flow chart of a remote diagnosis and treatment method based on an implant device provided in Embodiment 3 of the present application;
  • Fig. 4 is a flow chart of a remote diagnosis and treatment method based on an implant device provided in Embodiment 4 of the present application.
  • At least one means one or more, and “multiple” means two or more.
  • And/or describes the association relationship of associated objects, which means that there may be three kinds of relationships, for example, A and/or B, which can mean: A exists alone, A and B exist simultaneously, and B exists alone, where A and B can be singular or plural.
  • the character “/” generally indicates that the contextual objects are an “or” relationship.
  • At least one of the following” or similar expressions refer to any combination of these items, including any combination of single or plural items.
  • At least one item (unit) in a, b or c can represent: a, b, c, a and b, a and c, b and c or a and b and c, wherein a, b and c can be single or multiple. It should be noted that "at least one item (item)” can also be interpreted as “one item (item) or multiple items (item)”.
  • words such as “exemplary” or “for example” are used to mean an example, illustration or description. Any embodiment or design described herein as “exemplary” or “for example” is not to be construed as preferred or advantageous over other embodiments or designs. Rather, the use of words such as “exemplary” or “such as” is intended to present related concepts in a concrete manner.
  • An implantable neurostimulator system ie, an implanted medical system
  • an implanted device ie, an implanted neurostimulator
  • a program-controlled device placed outside the patient's body.
  • the existing neuromodulation technology mainly uses stereotaxic surgery to implant electrodes in specific structures (i.e., targets) in the body, and the implanted device (stimulator) implanted in the patient sends electrical pulses to the targets through the electrodes to regulate the electrical activities and functions of the corresponding neural structures and networks, thereby improving symptoms and relieving pain.
  • the stimulator can be any one of an implantable electrical nerve stimulation device, an implantable cardiac electrical stimulation system (also known as a cardiac pacemaker), an implantable drug delivery system (Implantable Drug Delivery System, referred to as IDDS) and a wire transfer device.
  • Implantable electrical nerve stimulation devices are, for example, Deep Brain Stimulation (DBS), Implantable Cortical Nerve Stimulation (CNS), Implantable Spinal Cord Stimulation (SCS), Implantable Sacral Nerve Stimulation (SNS), Implantable Vagus Nerve Stimulation (Vag) us Nerve Stimulation, referred to as VNS), etc.
  • the stimulator can include IPG, extension wires and electrode wires.
  • the IPG implantable pulse generator, implantable pulse generator
  • the IPG is set in the patient's body, receives the program control instructions sent by the program-controlled device, relies on sealed batteries and circuits to provide controllable electrical stimulation energy to the tissues in the body, and delivers one or two controllable specific electrical stimulations to specific areas of the tissue in the body through the implanted extension wires and electrode wires.
  • the extension wire is used in conjunction with the IPG as a transmission medium for the electrical stimulation signal, and transmits the electrical stimulation signal generated by the IPG to the electrode wire.
  • Electrode leads pass through multiple stimulation points (electrode contacts) to deliver electrical stimulation to specific areas of tissue in the body.
  • the stimulator is provided with one or more electrode wires on one side or both sides, and a plurality of electrode contacts are arranged on the electrode wires, and the electrode contacts can be arranged uniformly or non-uniformly in the circumferential direction of the electrode wires.
  • the electrode contacts may be arranged in an array of 4 rows and 3 columns (a total of 12 electrode contacts) in the circumferential direction of the electrode wire.
  • Electrode contacts may include stimulation electrode contacts and/or collection electrode contacts.
  • the electrode contacts can be in the shape of, for example, a sheet, a ring, or a dot.
  • the stimulated body tissue may be the patient's brain tissue, and the stimulated site may be a specific part of the brain tissue.
  • the stimulated site is generally different, the number of stimulation contacts (single source or multi-source), the application of one or more (single-channel or multi-channel) specific electrical stimulation signals, and the stimulation parameter data are also different.
  • the embodiment of the present application does not limit the applicable disease types, which may be the applicable disease types for deep brain stimulation (DBS), spinal cord stimulation (SCS), pelvic stimulation, gastric stimulation, peripheral nerve stimulation, and functional electrical stimulation.
  • DBS disorders that DBS can be used to treat or manage include, but are not limited to: spasticity disorders (e.g., epilepsy), pain, migraine, psychiatric disorders (e.g., major depressive disorder (MDD)), bipolar disorder, anxiety disorders, post-traumatic stress disorder, hypodepression, obsessive-compulsive disorder (OCD), behavioral disorders, mood disorders, memory disorders, mental status disorders, mobility disorders (e.g., essential tremor or Parkinson's disease), Huntington's disease, Alzheimer's disease, drug addiction disorder, autism, or Other neurological or psychiatric disorders and impairments.
  • spasticity disorders e.g., epilepsy
  • pain migraine
  • psychiatric disorders e.g., major depressive disorder (MDD)
  • bipolar disorder e.g., anxiety disorders, post-traumatic stress disorder, hypodepression, obsessive-compulsive disorder (OCD)
  • OCD obsessive-compulsive disorder
  • behavioral disorders
  • the program-controlled device when the program-controlled device and the stimulator establish a program-controlled connection, can be used to adjust the stimulation parameters of the stimulator (different stimulation parameters correspond to different electrical stimulation signals), or the stimulator can sense the bioelectric activity in the deep part of the patient's brain to obtain electrophysiological signals, and continue to adjust the stimulation parameters of the electrical stimulation signals of the stimulator through the collected electrophysiological signals.
  • Stimulation parameters can include: frequency (for example, the number of electrical stimulation pulse signals per unit time 1s, the unit is Hz), pulse width (the duration of each pulse, the unit is ⁇ s), amplitude (generally expressed in voltage, that is, the intensity of each pulse, the unit is V), timing (for example, it can be continuous or triggered), stimulation mode (including one or more of current mode, voltage mode, timed stimulation mode and cycle stimulation mode), doctor control upper and lower limits (doctor adjustable range) and patient control upper limit and lower limit (patient can independently One or more of the adjusted range).
  • various stimulation parameters of the stimulator can be adjusted in current mode or voltage mode.
  • the program-controlled device may be a doctor-programmed device (doctor terminal, that is, a program-controlled device used by a doctor) or a patient-programmed device (a patient terminal, that is, a program-controlled device used by a patient).
  • doctor's program-controlled device can be, for example, a tablet computer, a notebook computer, a desktop computer, a mobile phone and other smart terminal devices equipped with program-controlled software.
  • the patient program-controlled device can be, for example, smart terminal devices such as tablet computers, notebook computers, desktop computers, and mobile phones equipped with program-controlled software, and the patient program-controlled device can also be other electronic devices with program-controlled functions (such as chargers and data acquisition devices with program-controlled functions).
  • the embodiment of the present application does not limit the data interaction between the doctor's program-controlled device and the stimulator.
  • the doctor's program-controlled device can perform data interaction with the stimulator through the server and the patient's program-controlled device.
  • the doctor’s program-controlled device can interact with the stimulator through the patient’s program-controlled device, and the doctor’s program-controlled device can also directly interact with the stimulator.
  • FIG. 1 is a schematic structural diagram of a remote diagnosis and treatment system based on an implanted device provided in Embodiment 1 of the present application.
  • This embodiment is a remote diagnosis and treatment system 100 based on an implanted device.
  • the system can be applied to any remote diagnosis and treatment scenario based on an implanted device.
  • the system includes a data read-write device 130, a remote communication device 120, and a diagnosis and treatment management platform 110;
  • the remote diagnosis and treatment system 100 based on the implant device includes:
  • the diagnosis and treatment management platform 110 is configured to obtain a working parameter adjustment instruction, and send the working parameter adjustment instruction to the remote communication device 120;
  • the remote communication device 120 is configured to receive the working parameter adjustment instruction, analyze the working parameter adjustment instruction, and generate working parameter adjustment information; and send the working parameter adjustment information to the data reading and writing device 130;
  • the data reading and writing device 130 is configured to receive the working parameter adjustment information, and update the working parameters of the implant device according to the working parameter adjustment information; wherein, the working parameters include stimulation points, and the stimulation points are used to control the position where stimulation occurs.
  • the remote diagnosis and treatment system may include a data reading and writing device 130 , a remote communication device 120 and a diagnosis and treatment management platform 110 .
  • the diagnosis and treatment management platform 110 can serve as the core of the remote diagnosis and treatment system, communicate information between medical staff and patients, and can respond to requests from medical staff and patients at the same time.
  • the diagnosis and treatment management platform 110 can be managed by the medical device manufacturer of the implanted device, or can be managed by the medical unit using the implanted device. It should be noted that relevant data of implanted devices can be obtained through the diagnosis and treatment management platform 110, and medical device manufacturers can improve devices based on the relevant data of implanted devices, which is conducive to the replacement of implanted devices and provides patients with more advanced treatment methods. Medical units can use the relevant data of implanted devices to study the therapeutic effect of implanted devices and customize scientific treatment plans for patients.
  • the remote communication device 120 can serve as a communication medium between the diagnosis and treatment management platform 110 and the data reading and writing device 130 .
  • the remote communication device 120 can provide real-time health monitoring for patients at the patient end.
  • the data reading and writing device 130 can read the recorded information of the implanted device and write information to the implanted device.
  • the remote communication device 120 and the diagnosis and treatment management platform 110 can be connected through Ethernet for information exchange.
  • the remote communication device 120 and the data reading and writing device 130 can be connected by wireless communication methods such as infrared, bluetooth and ZigBee, so as to realize short-distance information transmission.
  • the data read-write device 130 and the implanted device can communicate wirelessly through radio frequency, so as to save the power of the implanted device to the greatest extent.
  • the diagnosis and treatment management platform 110 can obtain the working parameter adjustment instruction, and send the working parameter adjustment instruction to the remote communication device 120 .
  • the working parameter adjustment instruction may be an instruction generated by medical personnel logging into the diagnosis and treatment management platform 110 and editing the working parameter.
  • the working parameter adjustment instruction may also be an instruction generated by the diagnosis and treatment management platform 110 according to a preset control program.
  • the remote communication device 120 may receive the working parameter adjustment instruction, analyze the working parameter adjustment instruction, and generate working parameter adjustment information.
  • the parsing of the working parameter adjustment instruction may be based on part of the working parameter adjustment information to derive all associated working parameter adjustment information.
  • the working parameter A is associated with the working parameter B and the working parameter C.
  • the remote communication device 120 can adjust the working parameter B and the working parameter C according to the working parameter adjustment instruction.
  • the working parameter adjustment information may be adjusted working parameter information, for example, the working parameter before updating is 1, and the working parameter after adjustment is 3.
  • the working parameter adjustment information may also be the amount of data that needs to be adjusted for the current working parameter. Assuming that the working parameter before updating is 1, the working parameter after adjustment is 3, and the amount of data that needs to be adjusted is +2.
  • the remote communication device 120 can send the working parameter adjustment information to the data reading and writing device 130, so that the data reading and writing device 130 can update the working parameters of the implanted device according to the working parameter adjustment information.
  • the working parameters may include stimulation points, and the stimulation points may be the positions used to control the occurrence of stimulation. There may be one or more stimulation points, and the stimulation may be electric pulse stimulation.
  • the working parameters may also include amplitude, pulse width and frequency of electrical pulse stimulation. When there are multiple stimulation points, the stimulation of each point can be the same or different.
  • the setting of stimulation points can accurately realize nerve target therapy, which is conducive to targeted alleviation or cure of patients' diseases.
  • the working parameters may also include working mode, stimulating brain side and stimulating quantity, etc.
  • the working parameter adjustment instruction is obtained through the diagnosis and treatment management platform, and the working parameter adjustment instruction is sent to the remote communication device.
  • the remote communication device receives the working parameter adjustment instruction, analyzes the working parameter adjustment instruction, generates the working parameter adjustment information, and sends the working parameter adjustment information to the data reading and writing device.
  • the data reading and writing device receives the working parameter adjustment information, and updates the working parameters of the implanted device according to the working parameter adjustment information.
  • the embodiment of the present application can timely adjust the working parameters of the implanted device in the patient's body through the remote diagnosis and treatment system, which is beneficial for the implanted device to provide the patient with the best therapeutic effect and bring a good treatment experience to the patient.
  • FIG. 2 is a schematic structural diagram of a remote diagnosis and treatment system based on an implant device provided in Embodiment 2 of the present application.
  • the remote diagnosis and treatment system 100 also includes a patient terminal 140 and a medical care terminal 150; wherein, the patient terminal 140 interacts with the diagnosis and treatment management platform 110; the medical care terminal 150 interacts with the diagnosis and treatment management platform 110;
  • the patient terminal 140 is configured to send diagnosis and treatment reservation information to the diagnosis and treatment management platform 110;
  • the diagnosis and treatment management platform 110 is configured to receive the diagnosis and treatment reservation information, and determine the medical care terminal 150 according to the diagnosis and treatment reservation information;
  • the diagnosis and treatment management platform 110 is further configured to forward the communication request to the remote communication device 120 associated with the patient terminal 140 according to the communication request if the communication request initiated by the medical terminal 150 is detected;
  • the remote communication device 120 is further configured to perform video and/or audio communication with the medical terminal 150 according to the communication request.
  • a patient terminal 140 and a medical care terminal 150 are newly added.
  • the patient terminal 140 may be electronic devices such as mobile phones, personal computers, and tablet computers used by patients.
  • the patient terminal 140 can access the diagnosis and treatment management platform 110 by logging into the patient-end application, applet, website, etc., for example, can send diagnosis and treatment appointment information to the diagnosis and treatment management platform 110 .
  • the diagnosis and treatment management platform 110 can receive the diagnosis and treatment reservation information, and determine the corresponding medical terminal 150 according to the content of the diagnosis and treatment reservation information, so that the medical staff serving patients can keep abreast of the patient's status and needs.
  • the medical terminal 150 may be electronic devices such as mobile phones, personal computers, and tablet computers used by medical personnel.
  • the medical terminal can also access the diagnosis and treatment management platform 110 by logging into the patient-side application, applet, website, etc., for example, it can initiate a communication request. If the diagnosis and treatment management platform 110 detects a communication request initiated by the medical terminal 150, it can forward the communication request to the remote communication device 120 associated with the corresponding patient terminal 140 according to the content of the communication request, so as to realize the communication between the medical staff and the patient. At the same time, while the medical personnel communicate with the patient through the remote communication device 120, they can obtain relevant information about the implanted device to assist diagnosis and treatment.
  • the remote communication device 120 may receive the communication request, and perform video and/or audio communication with the medical terminal 150 according to the communication request. Medical staff can make a comprehensive judgment on the patient's condition by describing the patient, observing the patient's state and obtaining the working parameters of the implanted device, so as to give a scientific treatment plan.
  • the embodiments of the present application can enable patients to get in touch with medical staff in time, and provide a good diagnosis and treatment environment for medical staff.
  • the medical staff can obtain rich information, and then formulate scientific treatment plans for patients.
  • the medical terminal 150 is also used to set the working parameter range information of the implanted device, and send the working parameter range information to the diagnosis and treatment management platform 110;
  • the diagnosis and treatment management platform 110 is also used to receive the working parameter range information, and send the working parameter range information to the patient terminal 140;
  • the patient terminal 140 is further configured to receive the working parameter range information, and set the working parameters of the implant device according to the working parameter range information.
  • the medical staff can set the working parameter range information of the implanted device for the patient through the medical terminal, so that the patient can adjust the parameters of the implanted device in a timely and reasonable manner according to the specific situation.
  • the medical care terminal 150 can send the working parameter range information to the diagnosis and treatment management platform 110 .
  • the diagnosis and treatment management platform 110 can receive the working parameter range information, and send the working parameter range information to the patient terminal 140 .
  • the patient terminal 140 may receive the working parameter range information, and set the working parameters of the implant device according to the working parameter range information.
  • the patient terminal 140 can send a prompt message and prohibit the patient from unsafe operations, so as to ensure the safety of the patient to the greatest extent.
  • the embodiment of the present application can provide the patient with information on the working parameter range of the implanted device, and the patient terminal can provide the patient with a comfortable treatment experience on the premise of ensuring the patient's health by regulating the working parameter of the implanted device within a reasonable range.
  • the medical care terminal 150 is also used to set the timing program of the working parameters of the implanted device, and send the timing program of the working parameters to the diagnosis and treatment management platform 110;
  • the diagnosis and treatment management platform 110 is also used to receive the working parameter timing program, and determine the working parameter adjustment time of the implanted device according to the working parameter timing program;
  • the diagnosis and treatment management platform 110 is further configured to generate a working parameter adjustment instruction and send it to the remote communication device 120 at the working parameter adjustment time.
  • the medical care terminal 150 can set the timing program of the working parameters of the implanted device, and send the timing program of the working parameters to the diagnosis and treatment management platform 110 .
  • the working parameter timing program may be a change cycle of the working parameters of the patient's implanted device, for example, it may be a changing program of the working parameters of the implanted device within a day.
  • the diagnosis and treatment management platform 110 may receive the working parameter timing program, and determine the time for adjusting the working parameter of the implanted device according to the working parameter timing program.
  • the working parameter changing program is the working parameter changing program of the implanted device within one day
  • the diagnosis and treatment management platform can determine that the working parameters of the implanted device need to be adjusted at 7:00, 9:00, 12:00, 14:00, 19:00 and 22:00.
  • the diagnosis and treatment management platform 110 may generate a working parameter adjustment instruction at the working parameter adjustment time and send it to the remote communication device 120 .
  • the remote communication device 120 can send the working parameter adjustment information to the data reading and writing device 130, so that the data reading and writing device 130 can update the working parameters of the implanted device according to the working parameter adjustment information.
  • the above-mentioned solution can provide patients with an automatic adjustment service of the working parameters of the implanted device to adapt to the patient's various work and rest activities, bring a comfortable treatment experience to the patient, and reduce the work pressure of the medical staff.
  • diagnosis and treatment management platform 110 is further configured to receive the working parameter timing program, and send the working parameter timing program to the patient terminal 140;
  • the patient terminal 140 is further configured to receive the working parameter timing program, and determine the time for adjusting the working parameter of the implant device according to the working parameter timing program.
  • the patient terminal 140 is also used to adjust the time according to the working parameters, and send a working parameter adjustment request to the diagnosis and treatment management platform;
  • the diagnosis and treatment management platform 110 is further configured to generate a working parameter adjustment instruction according to the working parameter adjustment request and the working parameter timing program, and send it to the remote communication device 120 .
  • the working parameter timing program customized by the medical terminal 150 for the patient can provide a working parameter adjustment period for the patient to choose an appropriate time to adjust the working parameters of the implanted device according to his own situation.
  • the diagnosis and treatment management platform 110 can receive the working parameter timing program, and send the working parameter timing program to the patient terminal 140, and the patient terminal 140 will prompt the patient to adjust the working parameter of the implanted device.
  • the patient terminal 140 may receive the working parameter timing program, and determine the time for adjusting the working parameter of the implant device according to the working parameter timing program.
  • the patient terminal 140 can also adjust the time according to the working parameters, and send a working parameter adjustment request to the diagnosis and treatment management platform.
  • the diagnosis and treatment management platform 110 After receiving the working parameter adjustment request, the diagnosis and treatment management platform 110 generates a working parameter adjustment instruction according to the working parameter adjustment request and the working parameter timing program, and sends it to the remote communication device 120 .
  • the embodiment of the present application has good adaptability to the life changes of the patient, which is beneficial for the implanted device to provide the best treatment effect for the patient and bring good treatment experience to the patient.
  • the technical solution provided by the embodiment of the present application can give patients more access rights by setting the working parameter range information and working parameter timing program through the medical terminal, and the patient can adjust the implanted device to a comfortable working parameter within a reasonable range through the patient terminal.
  • setting the working parameter range information and the working parameter timing program through the medical terminal can reduce the working pressure of the medical staff and ensure that the working parameters of the implanted device are adjusted in a timely and accurate manner.
  • This solution is beneficial for the implanted device to provide the best treatment effect for the patient and bring a good treatment experience to the patient.
  • Embodiment 3 is a flow chart of the implanted device-based remote diagnosis and treatment method provided in Embodiment 3 of the present application. This embodiment is applicable to any implanted device-based remote diagnosis and treatment scenario, and the method can be executed by the implanted device-based remote diagnosis and treatment system provided in the embodiment of the present application.
  • the remote diagnosis and treatment method based on the implanted device includes:
  • S320 Receive the working parameter adjustment instruction through the remote communication device, analyze the working parameter adjustment instruction, and generate working parameter adjustment information; and send the working parameter adjustment information to the data reading and writing device.
  • S330 Receive the working parameter adjustment information through the data reading and writing device, and update the working parameter of the implant device according to the working parameter adjustment information; wherein the working parameter includes a stimulation point, and the stimulation point is used to control the position where stimulation occurs.
  • the working parameters also include amplitude, pulse width and frequency.
  • the remote diagnosis and treatment system further includes a patient terminal and a medical care terminal; wherein, the patient terminal interacts with the diagnosis and treatment management platform; the medical care terminal interacts with the diagnosis and treatment management platform;
  • the method Before obtaining the working parameter adjustment instruction through the diagnosis and treatment management platform, the method also includes:
  • the method further includes:
  • the patient terminal receives the working parameter range information, and sets the working parameter of the implant device according to the working parameter range information.
  • the method before receiving the working parameter adjustment instruction through the remote communication device, the method further includes:
  • a working parameter adjustment instruction is generated at the working parameter adjustment time and sent to the remote communication device.
  • the working parameter adjustment instruction is obtained through the diagnosis and treatment management platform, and the working parameter adjustment instruction is sent to the remote communication device.
  • the remote communication device receives the working parameter adjustment instruction, analyzes the working parameter adjustment instruction, generates the working parameter adjustment information, and sends the working parameter adjustment information to the data reading and writing device.
  • the data reading and writing device receives the working parameter adjustment information, and updates the working parameters of the implanted device according to the working parameter adjustment information.
  • the embodiment of the present application can timely adjust the working parameters of the implanted device in the patient's body through the remote diagnosis and treatment system, which is beneficial for the implanted device to provide the patient with the best therapeutic effect and bring a good treatment experience to the patient.
  • Fig. 4 is a flow chart of a remote diagnosis and treatment method based on an implant device provided in Embodiment 4 of the present application, and this embodiment is optimized on the basis of the foregoing embodiments. As shown in Figure 4, the method of this embodiment specifically includes the following steps:
  • S440 Perform video and/or audio communication with the medical terminal through the remote communication device according to the communication request.
  • S460 Receive the working parameter timing program through the diagnosis and treatment management platform, and determine the time for adjusting the working parameter of the implanted device according to the working parameter timing program.
  • S480 Receive the working parameter adjustment instruction through the remote communication device, analyze the working parameter adjustment instruction, and generate working parameter adjustment information; and send the working parameter adjustment information to the data reading and writing device.
  • S490 Receive the working parameter adjustment information through the data reading and writing device, and update the working parameters of the implant device according to the working parameter adjustment information; wherein the working parameters include stimulation points, and the stimulation points are used to control the location where stimulation occurs.
  • the diagnosis and treatment management platform can automatically generate a parameter adjustment command at the time when the working parameter is adjusted by setting the working parameter timing program on the medical terminal and send it to the remote communication device.
  • the remote communication device receives the working parameter adjustment instruction, analyzes the working parameter adjustment instruction, generates the working parameter adjustment information, and sends the working parameter adjustment information to the data reading and writing device.
  • the data reading and writing device receives the working parameter adjustment information, and updates the working parameters of the implanted device according to the working parameter adjustment information.
  • the embodiment of the present application can timely adjust the working parameters of the implanted device in the patient's body through the remote diagnosis and treatment system, which is beneficial for the implanted device to provide the patient with the best therapeutic effect and bring a good treatment experience to the patient.

Landscapes

  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Business, Economics & Management (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • General Business, Economics & Management (AREA)
  • Medical Informatics (AREA)
  • Primary Health Care (AREA)
  • Epidemiology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • Tourism & Hospitality (AREA)
  • Radiology & Medical Imaging (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Neurosurgery (AREA)
  • Neurology (AREA)
  • Marketing (AREA)
  • Strategic Management (AREA)
  • Physics & Mathematics (AREA)
  • General Physics & Mathematics (AREA)
  • Theoretical Computer Science (AREA)
  • Quality & Reliability (AREA)
  • Biophysics (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Operations Research (AREA)
  • Human Resources & Organizations (AREA)
  • Entrepreneurship & Innovation (AREA)
  • Economics (AREA)
  • Development Economics (AREA)
  • Pathology (AREA)
  • Electrotherapy Devices (AREA)

Abstract

Des modes de réalisation de la présente invention divulguent un système et un procédé de diagnostic et de traitement à distance basés sur un dispositif d'implantation. Le système de diagnostic et de traitement à distance comprend : une plate-forme de gestion de diagnostic et de traitement qui est utilisée pour acquérir une instruction de définition de paramètres de fonctionnement et envoyer l'instruction de définition de paramètres de fonctionnement à un dispositif de communication à distance ; l'analyse de l'instruction de définition de paramètres de fonctionnement, la génération des informations de définition de paramètres de fonctionnement et l'envoi des informations de définition de paramètres de fonctionnement à un dispositif de lecture-écriture de données ; et le dispositif de lecture-écriture de données qui est utilisé pour recevoir les informations de définition de paramètres de fonctionnement et mettre à jour les paramètres de fonctionnement d'un dispositif d'implantation selon les informations de définition de paramètres de fonctionnement. Les paramètres de fonctionnement comprennent un site de stimulation qui est utilisé pour commander l'emplacement qui est stimulé. Dans la présente invention, les paramètres de fonctionnement d'un dispositif d'implantation d'un patient peuvent être rapidement réglés, ce qui permet d'optimiser le traitement du patient à l'aide du dispositif d'implantation et de faire bénéficier le patient d'une bonne expérience de traitement.
PCT/CN2022/125082 2022-01-20 2022-10-13 Système et procédé de diagnostic et de traitement à distance basés sur un dispositif d'implantation WO2023138117A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
CN202210064232.8A CN114255860A (zh) 2022-01-20 2022-01-20 一种基于植入设备的远程诊疗系统及方法
CN202210064232.8 2022-01-20

Publications (1)

Publication Number Publication Date
WO2023138117A1 true WO2023138117A1 (fr) 2023-07-27

Family

ID=80799761

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/CN2022/125082 WO2023138117A1 (fr) 2022-01-20 2022-10-13 Système et procédé de diagnostic et de traitement à distance basés sur un dispositif d'implantation

Country Status (2)

Country Link
CN (1) CN114255860A (fr)
WO (1) WO2023138117A1 (fr)

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114255860A (zh) * 2022-01-20 2022-03-29 苏州景昱医疗器械有限公司 一种基于植入设备的远程诊疗系统及方法

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20020143372A1 (en) * 2001-03-29 2002-10-03 Snell Jeffery D. System and method for remote programming of implantable cardiac stimulation devices
CN102107044A (zh) * 2010-12-28 2011-06-29 中国人民解放军第四军医大学唐都医院 基于3g网络的脑深部刺激器远程调控方法
CN103051731A (zh) * 2013-01-17 2013-04-17 清华大学 植入式医疗器械的远程监控系统
CN108133759A (zh) * 2018-01-16 2018-06-08 北京品驰医疗设备有限公司 人体植入式医疗装置参数设置系统
CN109559813A (zh) * 2018-11-19 2019-04-02 北京品驰医疗设备有限公司 用于控制植入医疗设备的程控装置、电子设备和系统
CN114255860A (zh) * 2022-01-20 2022-03-29 苏州景昱医疗器械有限公司 一种基于植入设备的远程诊疗系统及方法

Family Cites Families (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6622047B2 (en) * 2001-07-28 2003-09-16 Cyberonics, Inc. Treatment of neuropsychiatric disorders by near-diaphragmatic nerve stimulation
US20030120324A1 (en) * 2001-12-26 2003-06-26 Osborn Brett A. System and method for remote programming of a medical device
US20050143781A1 (en) * 2003-01-31 2005-06-30 Rafael Carbunaru Methods and systems for patient adjustment of parameters for an implanted stimulator
US7489970B2 (en) * 2003-04-02 2009-02-10 Medtronic, Inc. Management of neurostimulation therapy using parameter sets
KR102162060B1 (ko) * 2018-05-31 2020-10-06 서울대학교산학협력단 체내 이식형 의료기기 제어시스템 및 그의 제어방법
CN110970126A (zh) * 2018-09-30 2020-04-07 苏州景昱医疗器械有限公司 植入式医疗设备的远程调控方法及系统

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20020143372A1 (en) * 2001-03-29 2002-10-03 Snell Jeffery D. System and method for remote programming of implantable cardiac stimulation devices
CN102107044A (zh) * 2010-12-28 2011-06-29 中国人民解放军第四军医大学唐都医院 基于3g网络的脑深部刺激器远程调控方法
CN103051731A (zh) * 2013-01-17 2013-04-17 清华大学 植入式医疗器械的远程监控系统
CN108133759A (zh) * 2018-01-16 2018-06-08 北京品驰医疗设备有限公司 人体植入式医疗装置参数设置系统
CN109559813A (zh) * 2018-11-19 2019-04-02 北京品驰医疗设备有限公司 用于控制植入医疗设备的程控装置、电子设备和系统
CN114255860A (zh) * 2022-01-20 2022-03-29 苏州景昱医疗器械有限公司 一种基于植入设备的远程诊疗系统及方法

Also Published As

Publication number Publication date
CN114255860A (zh) 2022-03-29

Similar Documents

Publication Publication Date Title
US10029106B2 (en) Remote access and post program telemonitoring
AU2018200348A1 (en) Neurostimulation system having increased flexibility for creating complex pulse trains
WO2024021960A1 (fr) Générateur d'impulsions, système médical et support de stockage lisible par ordinateur
WO2023061233A1 (fr) Procédé de commande de charge pour chargeur externe, et appareil associé
WO2023071378A1 (fr) Stimulateur nerveux implantable et système de stimulation nerveuse implantable
WO2023011492A1 (fr) Stimulateur implantable et système de stimulation
WO2023124390A1 (fr) Dispositif commandé par programme et système de neurostimulation implantable
WO2023124616A1 (fr) Système et procédé de communication sans fil, dispositif informatique et support de stockage
WO2023142534A1 (fr) Dispositif commandé par programme et système de stimulation nerveuse implantable
WO2023000789A1 (fr) Procédé d'enregistrement d'informations de programmation et appareil associé
WO2023138117A1 (fr) Système et procédé de diagnostic et de traitement à distance basés sur un dispositif d'implantation
US9421377B2 (en) Apparatus, method and system for closed-loop neurostimulation
WO2023241338A1 (fr) Dispositif de commande planifié, système de commande planifié, dispositif électronique et support de stockage lisible par ordinateur
WO2024083193A1 (fr) Générateur d'impulsions, stimulateur, système médical et support d'enregistrement lisible par ordinateur
WO2023124617A1 (fr) Système de stimulation implantable
WO2023151539A1 (fr) Appareil d'analyse médicale du cerveau et unité de commande
WO2023138116A1 (fr) Procédé et appareil de traitement de données pour dispositif médical implanté, support, et dispositif
CN114845768A (zh) 提供亚感知刺激的神经刺激设备
WO2023011493A1 (fr) Appareil expérimental à double aveugle, dispositif électronique, système expérimental à double aveugle et support d'enregistrement
US20150367137A1 (en) System and method for remotely controlling an implantable neurostimulator
US20220230743A1 (en) Medical device management using risk control measures
WO2023024881A1 (fr) Procédé de traçage vidéo pour patient atteint d'une maladie chronique et appareil associé
US20220230742A1 (en) Medical device management
JP7278360B2 (ja) 電気刺激の正確な送達
CN118199779A (zh) 植入式设备的对时方法及相关装置

Legal Events

Date Code Title Description
121 Ep: the epo has been informed by wipo that ep was designated in this application

Ref document number: 22921544

Country of ref document: EP

Kind code of ref document: A1