CN100518625C - A portable system for monitoring and processing patient parameters in multiple operational modes - Google Patents

A portable system for monitoring and processing patient parameters in multiple operational modes Download PDF

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Publication number
CN100518625C
CN100518625C CN 200380110561 CN200380110561A CN100518625C CN 100518625 C CN100518625 C CN 100518625C CN 200380110561 CN200380110561 CN 200380110561 CN 200380110561 A CN200380110561 A CN 200380110561A CN 100518625 C CN100518625 C CN 100518625C
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patient
monitor unit
data
parameter data
communication
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CN1859868A (en
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安德鲁·利维
沃尔夫冈·肖尔茨
托马斯·拉斯
克利福德·M·凯利
约瑟夫·埃拉兹
肯尼思·富克斯
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Draeger Medical Systems Inc
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Draeger Medical Systems Inc
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Priority claimed from US10/712,758 external-priority patent/US20040147818A1/en
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Abstract

A system, housed as a portable monitoring unit, monitors and processes signal parameters acquired from a patient in multiple operational modes. A data acquisition processor receives patient parameter data from a plurality of different patient attached sensors and processes that data to provide processed patient parameter data. An image reproduction device displays processed patient parameter data. A communication interface communicates the processed patient parameter data to the image reproduction device for display and concurrently communicates the processed patient parameter data to either a docking station when said portable monitoring unit is docked in said docking station in a first mode or a network access point coupled to a communication network via wireless communication in a second mode. A power unit re-charges a battery in the portable monitoring unit in the first mode.

Description

Be used for monitoring and handling the portable system of patient parameter in multiple mode of operation
People such as present patent application requirement C.M.Kelly ask US60/427,154 priority in the interim patent of submitting on November 18th, 2002.
Technical field
The present invention relates generally to field of medical.More specifically, the present invention relates to the surveillance equipment that can in multiple different working modes, use.
Background technology
As current practical situation, physiological moniyoting equipment is designed for particular place usually, wherein uses these equipment when watching over the sick, for example in hospital or outside the hospital.Under the situation of traumatic patient, monitor that patient begins at accident spot usually.Ambulance carries the support air monitor, and it is designed to the blanket shape, thereby can use in mobile ground and transatmospheric vehicle.
Continue above-mentioned example, patient is transported to hospital, may receive with estimation accident or severity of disease in emergency unit at the beginning.This common needs disconnection patient is connected with the ambulance monitor, and patient is reconnected to the interior monitor of emergency room (ER).The monitor that is used for the hospital emergency chamber region has usually to the wireless connections of central station and information network, and this allows monitor and patient to move.Like this, can in ER, dispose, browse and control them in the place of any needs.
If patient is in a bad way, then patient can be delivered to operating room (OR) or severe disease nurse ward (ICU).If this occurs, can disconnect being connected of patient and ER monitor, and it is reconnected to OR or ICU monitor.The monitor that uses in OR or ICU is fixed and is installed on the wall.They also provide bigger and more high-resolution demonstration to allow to visit easily mass data.Monitor in OR or ICU can also allow to add more the multiparameter function to obtain the more complete picture of patient health.
The problem that monitors patient still is when patient to be moved to recovery area and moves to the ICU zone subsequently from OR.Patient can move to more not serious " alleviating (step-down) " unit from the ICU zone.In these examples, may must physically disconnect again being connected of patient and OR monitor, and reconnect to air monitor, be connected to ICU or alleviation monitor subsequently.
Be equipped with half wearing type (remote measurement) equipment that moves or move also wish for sometimes healthy patient and leave sick bed to allow patient, thereby to toilet and/or go in the nursing unit.Can allow some complete mobile patients to walk in the specific region of hospital moves.The monitor of this purposes must be small-sized and light-duty, so that patient can carry this monitor easily when walking or move.After patient further improved physiological status, patient no longer needed to be monitored continuously.Yet, spot-check vital sign termly, so that before patient discharge, can provide final complete assessment to it.
Because patient's bodily form difference, current patient monitoring device can also manufacture different sizes.For example, the neonate patient may need small sized monitor, and pediatric patient needs bigger monitor and adult patient to need complete size monitor.These monitors also comprise the different monitored parameters that are used for different patient's kinds.For example, infant heart rates is higher than adult's heart rate, and alarm parameter need suitably be set.
As mentioned above, hospital may need two, four even how dissimilar monitor apparatus to cover nursing place, application and patient classification, as mentioned above.Because the surveillance equipment of these types there is no need to be made by same distributors, so they can not use identical communication protocol and method, will have different control, interface and/or adnexa probably.Therefore, have the extra work that a plurality of monitors need the nursing staff.As long as the exchange monitor, they are just essential to connect and the pick off of open configuration on patient body.And, although only use adnexa once in a while, disconnecting the adnexa of a monitor and being connected of patient, the corresponding accessory that reconnects another different monitors subsequently is pretty troublesome.In addition, must train nursing staff's operation to have a plurality of surveillance equipments of different controls and interface.
Another problem is that existing system lacks the compatible property of a plurality of equipment.Just, distinct device can not intercom easily mutually, perhaps can not communicate by letter by any way.Therefore, very difficult from a kind of surveillance equipment to another kind of surveillance equipment transmission data, or even impossible.Therefore, along with patient is flowed in the zones of different of hospital, patient's historical data may be lost.In addition, because disconnect being connected of patient and arbitrary surveillance equipment sometimes, thereby can not preserve the complete documentation of this patient's physiological data.
More existing surveillance equipments have been attempted combination and have been transmitted monitor features and fixed surveillance device feature to avoid interrupting data collection.More specifically, these equipment attempt to make up giant display with portable.In a kind of like this structure, need compromise usually.If for high resolution use is made display enough big, then this unit becomes too huge and heavy for transmitting.If for portability gets display design light-duty and small-sized, then monitor does not have enough big screen size and resolution, visiting these data may be very difficult or impossible.Existing other monitor lacks local display, postpones the rapid evaluation of patient condition, and purchase and maintenance cost are very high.
Summary of the invention
The inventor has advantageously recognized need a kind of like this monitor, when patient by different places and their different recoveries that promptly is sent to the outpatient of flowing from the beginning during the stage, it can reduce or avoid disconnecting the requirement that is connected and reconnects to another monitor with a monitor from patient; Be and automatically take its operation according to patient's needs and patient's environment on the one hand; Be that on the other hand it is to protect the small hand-held formula equipment that can pass to another patient as required from a patient.
According to principle of the present invention, be assembled into the system monitoring of portable monitor unit and handle the signal parameter that in a plurality of mode of operations, obtains from patient.Data acquisition processor receives the patient parameter data from the pick off of a plurality of different patients' assemblings, and handles these data so that the patient parameter data after the processing to be provided.Patient parameter data after the image reproducing apparatus display process.Patient parameter data after communication interface will be handled sends image reproducing apparatus to show, in first pattern, when described portable monitor unit mooring during at the mooring station, patient parameter data after will handling simultaneously sends described mooring station to, perhaps in second pattern, be coupled to the Network Access Point of communication network by radio communication.Power subsystem is given the battery charge in the portable monitor unit in first pattern.
Description of drawings
Fig. 1 a is the block diagram of the portable monitor unit that uses in system in accordance with the principles of the present invention;
Fig. 1 b is the three-dimensional views of shell of the portable monitor unit of pie graph 1a;
Fig. 2 is the block diagram that diagram is arranged on the portable monitor unit of Fig. 1 a in the mooring station that can be connected to communication network;
Fig. 3 is that diagram is connected to the block diagram that is used for the portable monitor unit of Fig. 1 of the radio receiving-transmitting unit of network service;
Fig. 4 is the block diagram as the portable monitor unit of the wired front end in clinical position station;
Fig. 5 is the block diagram of diagram as the portable monitor unit of Fig. 1 a of clinical position station wireless front end work;
Fig. 6 is the block diagram of portable monitor unit that Fig. 1 a of the standard " compact flash " that is used to use various compact flash (Compact Flash) expansion pod is installed.
The specific embodiment
Referring to accompanying drawing, especially referring to Fig. 1 a, a kind of system that is used to monitor and handles physiological parameters of patients comprises portable monitor unit 10.This monitor unit 10 comprises data acquisition processor 20, image reproducing apparatus 30, communication interface 40 and comprises the power subsystem 50 of battery 52.Communication interface 40 allows portable monitor unit 10 to be operated in a plurality of mode of operations.This communication interface 40 is illustrated as has the terminal 41 and 42 that can be used for connecting external source.Though only illustrate two terminals, will understand also and can obtain plural terminal from portable monitor unit 10.Power subsystem 50 is connected to other unit of portable monitor unit 10, but also not shown these connections, thus avoid unnecessary complicated this accompanying drawing.
Pick off 21 is illustrated as is connected to data acquisition processor 20.Pick off 21 needs not to be the part of portable monitor unit 10 or mounted thereto, but can be used for assembling to patient to send the signal corresponding with this patient's physiological function to data processor 20.This physiological data can comprise (a) electrocardiogram (ECG) data; (b) blood parameters data; (c) ventilation parameter data; (d) infusion pump data; (e) intrusion or non-intruding blood pressure data; (f) pulse rate data; (g) temperature data and/or (h) breath data.For example, pick off 21 can be the ECG electrode, and it can be equipped with to patient's chest and be connected to the data acquisition processor 20 of portable monitor unit 10 by wired lead.
Terminal 41 is communicated by letter with external system with 42.Communication interface 40 will represent that on one or more terminals 41 and 42 data of physiological parameters of patients send these external systems to, and will be as described in greater detail below.
Monitor unit 10 is miniaturization and light-duty surveillance equipment, and it can measure the patient's who is connected to pick off 21 basic physiological parameter.Monitor unit 10 as shown in Figure 1a has the wired and wireless performance of self-contained use in such as moving areas such as scene transmission, emergency room and alleviation/remote measurements.As shown in the figure, monitor unit 10 can also seamlessly dock with the clinical position station in the hospital, for example as the intelligent front end that is used for more advanced supervision.
Referring to Fig. 1 b, the three-dimensional views of the shell of the portable monitor unit 10 shown in the diagram pie graph 1a.This monitor unit 10 comprises a plurality of terminals that are connected to pick off 21 (not shown in Fig. 1 b).For example, terminal 11 can be used for the ECG measurement.In Fig. 1 b illustrated embodiment, there are ten terminals 11 that can be used for being connected to ten electrodes, described electrode generates 12 lead electrocardiograms of standard.These terminals can be so that from ECG electrode cable lead acceptance criteria adapter.Terminal 12 can be used for being connected to the non-intruding pick off that is used for determining blood pressure and terminal 13 and can be used for being connected to and be used to measure blood oxygen grade (SpO 2) pick off.Terminal 14 can be used for being connected to the one or more temperature that are used to measure on patient's different anatomic zone.Terminal 16 and 17 can be used for being connected to external equipment with provide with these external equipments synchronously, words in the time of if desired.
(cannot see in Fig. 1 b) on the rear end of monitor unit 10 is the mooring station connector.These connections comprise the terminal of describing with reference to figure 1a as mentioned 41 and 42 that is used for physiological parameters of patients is sent to external system.Battery 52 in power subsystem 50 also is connected the rear end of monitor unit 10, can charge to it when with box lunch this monitor unit 10 being connected to the mooring station.The operation of monitor unit 10 in the time of will describing in detail hereinafter in being placed on the mooring station.
Image reproducing apparatus 30 is installed on the viewing position of monitor unit 10 outer casing top surfaces.Referring to Fig. 1 a, the processed patient physiological parameter data are routed to image reproducing apparatus 30 from data acquisition processor 20 by communication interface 40.Image reproducing apparatus 30 generates the image of the received patient physiological parameter data of expression.For example, the form of ECG figure shows the ECG data in the time of can be with the known solid of one or more leads.Can be with SpO 2Data show is the percent of textual form.Can on image reproducing apparatus 30, show the image of representing other patient physiological parameter data with suitable form.In illustrated embodiment, this image reproducing apparatus 30 is liquid crystal displays (LCD) of optimizing on big or small and resolution for transmission in most of on-the-spot and the hospital and for other clinical practice.LCD display 30 can also comprise the rotation erection unit, is similar to rearview mirror, monitor unit 10 is watched in its permission on desired angle LCD display 30.
Referring now to Fig. 2,, diagram is installed in monitor unit 10 in the mooring station.Mooring station 60 comprise with monitor unit 10 on the adapter corresponding connector.When being inserted in monitor unit 10 in the mooring station 60, the corresponding connectors in monitor unit 10 and mooring station 60 cooperates, thus signal between transmission in known manner.Mooring station 60 is connected to network 100 by connecting 61 again.Connecting 61 can be the cable that comprises one or more leads or Radio Link.Network 100 can be included in other electronic equipment, another computer, Local Area Network maybe can comprise the connection of the Internet as the wide area network (WAN) of assembly.
When the ambulatory patient wore monitor unit 10, mooring station 60 can dispose to such an extent that be similar to frame, and it can be worn on patient's belt or be suspended on the divider that transmits patient.In this mode of operation, can be embodied as Radio Link with connecting 61.As patient during in the fixed position, for example on one's sick bed, in process chamber or therapeutic room or on operating-table, mooring station 60 can be positioned near the patient who wears monitor unit 10 the fixed position.In this mode of operation, mooring station 60 can be connected to hospital network 100 by wired connection 61.Equally in this mode of operation, the power supply that can carry out from the feed line in the hospital architecture to power subsystem the battery 52 (Fig. 1) in 50 connects, and allows battery charge.In any mode of operation in these mode of operations, connect 61 data that allow to transmit to network 100 by mooring station 60 physiological parameter signals that expression receives from (Fig. 1 a's) pick off 21 that attaches to patient body from monitor unit 10.
For example, when patient unsettles, can remove monitor unit 10 from fixing mooring station 60, and be placed in the frame 60.When patient arrives at the fixed position, monitor unit 10 can be taken out and be placed on fixedly mooring station 60 from frame 60 in.Therefore, no matter when patient moves, patient's physiological parameter data all remains network 100 and can use, and needn't physically remove and replace sensor groups from patient, perhaps by physically removing and replace pick off, perhaps by physically disconnecting connection and reconnecting any standard cable or the adapter that is connected to such as one group of pick offs such as ECG pick offs.
Network 100 can comprise having more high-resolution more large-scale image display, thereby supports the clinician to have the image that more pinpoint accuracy reads the expression physiological parameters of patients with the small-sized lower resolution image reclaim equiment 30 (Fig. 1) than monitor unit 10.Monitor unit 10 can detect or whether requester network 100 appears on the network 100 with definite more high-resolution display device.Replacedly, more high-resolution display device can be notified to monitor unit 10 with its appearance on network 100.Under any situation, monitor unit 10 automatically changes its mode of operation physiological parameter data is sent to more high-resolution display device.Manually impose a condition so that physiological parameter data is sent to more high-resolution display device on network 100 for surveillance equipment 10.Under any situation, the monitor unit 10 usefulness front end that is for data processing, its signal of autobiography sensor 21 of collecting, and handle these signals to generate the processed patient physiological parameter data.On network 100, the processed patient physiological parameter data are routed to large-scale high-resolution display device.Large-scale high-resolution display device shows the image of the patient physiological parameter data that expression is received.
Some hospitals have wired and/or cordless communication network, and its allows to comprise that personnel on the central monitoring station of one or more large-scale high-definition picture display devices monitor one or more patients' physiological parameter.Such central monitoring station can also be connected to network 100.Can will be routed to the central monitoring station from the patient physiological parameter data of monitor unit 10 by network 100, wherein can be shown and monitor.Also may there be central history data repository, wherein stores the complete history of physiological parameter data.Central history data repository can also be connected to network 100, and store the physiological parameter data that receives from monitor unit 10.
Referring to Fig. 3, diagram monitor unit 10 comprises the wireless network transceiver of representing with the antenna 80 that can communicate by letter with WAP 81.This wireless network transceiver 80 is connected to communication interface 40 (Fig. 1) with the form that is similar to terminal 41 and 42.Communication interface 40 offers transceiver 80 with patient physiological parameter data from data acquisition processor 20.WAP or other radio receiving-transmitting unit represented with antenna 81 are connected to network 100.Transceiver 80 and 81 can be bluetooth 802.15 radio receiving-transmitting units.For example in " Haartsen, Bluetooth, theUniversal Radio Interface for Adhoc, Wireless Connectivity ", EricssonReview#3, the Bluetooth technology of 1998, the 110-117 pages of descriptions.Monitor unit 10 can also comprise can supporting to use and comprises WLAN 802.11b, 802.11a, 802.11g, the network or the local transceiver of communicating by letter of other wireless technologys such as bluetooth 802.15 and GSM/GPRS.
Because can use this mode of operation, when monitor unit 10 by attaching to pick off 21 (Fig. 1) on the patient body at the beginning when remaining connected to patient, it can notify whether mooring is in mooring station 60 (Fig. 2) to network 100.Just, when when a position moves to another position, needn't remove on one's body and replace pick off 21 on one's body from patient, also needn't disconnect any cable connector (for example ECG cable connector) of being connected to pick off and monitor unit 10 and be connected again patient.It is when available that communication interface 40 (Fig. 1) can automatically detect the wired connection of network 100, and automatically support radio receiving-transmitting unit 80 and patient physiological parameter data is offered network 100 by radio receiving-transmitting unit 80.
At Fig. 3, but monitor unit 10 can be operated in the wearable telemetry mode.In this mode of operation, closing image reclaim equiment 30 (Fig. 1) is to save power in most of the time.More specifically, in response to preprogrammed instruction, can be at closing image reclaim equiment 30 after the predetermined interval to save power.Thereby, battery life can be extended to several days from several hrs.The nurse can recycle display off and on to check patient condition or when the placement of nurse's adjustment pick off or electrode during on patient's sick bed next door.Enter remote location on the central station with physiological parameter or the acquisition of watching patient and carry second receiving equipment and compare to watch from the data of telemetry transmetter with needing the nursing staff, this configuration is favourable.
More above-described large-scale high-resolution display device also comprise the greater functionality that is used to analyze the physiological parameter data that is received.This equipment is called the clinical position station.In Fig. 4, illustrate such work station 65.In Fig. 4, monitor unit 10 is moored in the mooring station 60, and this mooring station 60 connects 69 computers 62 that are connected in the clinical position station 65 by interface.Computer 62 is connected to large-scale more high resolution display 63 and the network 100 in the clinical position station 65.
When with monitor unit 10 by mooring station 60 (Fig. 2) or by wireless connections (Fig. 3) when being directly connected to network 100, monitor unit 10 detects the existence that network connects by any suitable method.For example, monitor unit 10 can the requester network address.If receive one, then monitor unit 10 determines that it is connected to network 100, and automatically enters the direct-connected mode of operation that is used for network 100.
In the time of in monitor unit 10 physically is moored to mooring station 60, described mooring station 60 is connected to the computer 62 in the prison bed work station 65, the existence that monitor unit 10 connects by any suitable method checking workstation.For example, monitor unit 10 can the requester network address.Yet in this case, computer 62 returns a signal and is connected to clinical position station 65 with expression monitor unit 10, and is not connected to network 100.More specifically, it can return the particular network address of reservation with the connection of representing clinical position station 65, perhaps can return to be suitable for representing that monitor unit 10 is not connected to any other signal of network 100.In response, monitor unit 10 determines that it is connected to clinical position station 65, and automatically changes its mode of operation for the connection to the clinical position station.
In this mode of operation, monitor unit 10 work are the intelligent front end module of an assembly of the more large-scale point-of care of conduct system.This monitor unit 10 receives the signal of expression physiological parameters of patients from pick off 21 (Fig. 1), handle these signals and will handle after physiological parameter data send clinical position station 65 to.The expanded application that clinical position station 65 has large display screen curtain 65 and is subjected to computer 62 controls is to constitute single complete high-end patient monitor.This point-of care system is connected to network 100, and data can be offered central monitoring station or patient's history storehouse.Use this monitor unit 10 to allow the clinician to use the bigger more high-resolution physiological parameter display that has any available additional function as the date processing front end at clinical position station, and do not need from patient to remove and replace this group pick off 21 (Fig. 1) on one's body, perhaps disconnect connection and reconnect any sensor electrical cable connector.
Computer 62 can also be connected respectively to expansion pod 73 and 74.Can add or remove these expansion pod 73 and 74 easily, and as mentioned below additional properties be offered clinical position station 65.But expansion pod 73 and 74 can manufacture known small-sized plug-in package, but for example PCMCIA, compact flash or other plug-in package, or can use such as USB or Fire Wire known communication protocols such as (live wires) attachable by wired or wireless connection.In either case, computer 62 comprises the respective terminal that can insert or connect expansion pod.
Monitor unit 10 can also comprise the expansion pod 71 that is illustrated as among Fig. 4 and 72 expansion pod.Under the situation of monitor unit 10, but its miniaturization makes that expansion pod is embodied as plug-in package (for example PCMCIA or compact flash) is more actual, although attachable expansion pod (for example USB or Fire Wire) also is feasible.Monitor unit 10 can comprise the terminal that can insert or connect expansion pod.The identical purpose of describing at the computer in clinical position station 65 62 above expansion pod 71 and 72 in the monitor unit 10 can being used for.
In Fig. 5, illustrate another embodiment, wherein monitor unit 10 is connected to radio receiving-transmitting unit 90 (identical) with Fig. 3, it sends the data to radio receiving-transmitting unit or WAP 91.Radio receiving-transmitting unit 91 is connected to computer 92 again, and described computer 92 is connected to more large-scale more high-resolution display monitor 63.Be similar to configuration shown in Figure 4, monitor unit 10 and computer 92 can be connected respectively to expansion pod 71,72,73 and 74.In Fig. 5, monitor unit 10 wirelessly is connected to clinical position station 95.Except with the processed patient physiological parameter data wireless send to the work station 95, the operation of illustrated embodiment is identical with operation shown in Figure 4 in Fig. 5.
Describe with reference to figure 4 and Fig. 5 as mentioned, can be with monitor unit 10 as " front end " of local clinical position station computer to constitute high-end monitor.This locality " point-of care " between monitor unit 10 and display 63 connects, wired with wireless, advantageously use the special-purpose low agreement (LLP) that postpones to require to guarantee that signal from the pick off 21 (Fig. 1) of front end acquiring unit (monitor unit 10) obtains and extremely short delay between the pictorial display of these signals of expression on the large-screen 63 of work station 65.Should low postpone agreement and allow the information on the large-screen 63 is used for application to time-sensitive, for example when being placed on conduit in the health and surgical hand-eye coordination during mobile conduit between heart beating.
Low delay wireless connections (Fig. 5) also allow surveillance equipment to have short-range mobility.For example in operating room, when patient is moved to operating room, when preparing surgical operation for patient subsequently, low delay wireless connections are desired.In this time period, the physiological parameter data from monitor unit 10 wirelessly can be sent to stationary computer 92 on large-screen 63, to show, lay and this monitor unit 10 can be installed in the fixed mooring station 60 (Fig. 4) up to finishing patient.
When not needing high-performance clinical position station computer, but when wishing, can use wireless connections to communicate by letter with mobile flat computer with local ground than the bigger screen of monitor unit 10.Such configuration will with Fig. 4 and shown in Figure 5 identical, except programmed processor 62 (or in wireless mobile flat computer 92) is a general processor with work, rather than programming operation is the controller that is used for the clinical position station.For using such as middle rank or senior transmission etc., the combination of flat computer and monitor unit 10 is useful.Stationary computer or flat computer can also obtain additional information from other headend equipment simultaneously.Monitor unit 10 can also comprise that the additional this locality that is used for asset management, patient location and prevention theft locatees equipment wirelessly.
When using cable network to connect, can will be used as specialized high-speed definitiveness point to point network such as standards such as Ethernets.It has on can be on consolidated network in traditional monitoring network of a lot of peer-to-peers uses.Be used for the wireless solution that these networks connect, can using a plurality of radios to optimize message transmission rate and minimise power consumption.
When patient was in a bad way a certain grade, the non-invasive sensors 21 (Fig. 1) that is built in the monitor unit 10 may be not enough to monitor patient.In this case, Fig. 4 and external pods 71 and 72 shown in Figure 5 can be connected to monitor unit 10 to expand its function.This expansion pod 71 and 72 can be connected to other pick off that may invade more or other armarium, is used to collect additional physiological parameter signals.For example, under the critical care situation, accurately the necessity of information may need to measure on the spot.Usually this pick off is categorized as minimum invasive or invasive.The example that is used to measure the minimum intrusion pick off of blood input is the probe that is inserted in such as in the concern positions such as blood vessel, brain, gums or mouth/nasal mucosa.The example of invading pick off is the pick off (some in them are suitable for chronic plantation) that surgically is inserted in the region-of-interest.In either case, pick off generates the signal of expression blood infusion grade, and is connected to expansion pod 71 and 72, and described expansion pod provides the data of expression blood infusion to monitor unit 10.
Also there is implantable radio physiological pick off in expectation accurate pressure measured zone.This pick off can generate expression internal blood pressure, intracranial, gastric and intra-uterine pressure, the urine kinetic measurement of catheterization and the signal that other remote pressure reads.Such pick off can be implanted in the anatomic region of concern by surgery.In operation, pick off sends the wireless data of this area inner pressure of expression.Respective extension pod 71 and 72 receives this signal, and will represent that the data of institute's detected pressures offer monitor unit 10.
Also there is other intrusive mood pick off that is used to measure by the flow of liquid of conduit, for example measures blood by blood vessel.Also there is other pick off that real-time expression tissue or organ reactivity parameter are provided simultaneously.Whole local operations, and information sent to corresponding expansion pod 71 and 72, offer monitor unit 10 by its data that will represent the physiological parameter that detects again.
Design monitor unit 10 is with when mooring these additional pods of support frame or mooring station 60 in and in such as the radio operation process that transmits on battery supply etc.Be used for providing visit patient's transport process may unwanted more physiological datas other expansion pod 73 and 74 can pass through to and provide butt joint to be the additional front end parallel being connected of clinical position station computer 62 (or 92) with monitor unit 10.This configuration also illustrates in Fig. 4 and Fig. 5.Computer 62 (or 92) in clinical position station 65 (or 95) is presented on the giant display 63 data of additional patient's physiological data that expression collected respectively by expansion pod 71,72,73 and 74 with suitable form when the clinician asks.
Above-described monitor unit 10 is small-sized and is easy to carry about with one.Therefore, can be used as hand-held vital sign " selective examination " monitor.Use such equipment to collect, and be convenient to when patrolling, carry such as nursery work persons such as nurses from a plurality of patients' data.Now, the nurse carries monitor usually on rolling wheel support when inspection.On the other hand, because monitor unit 10 according to the present invention is small-sized with light-duty, can be in pocket, carry on the arm at waist or shoulder and to carry this monitor unit 10.And, because be built into the interior Radio Link of monitor unit 10 (Fig. 3), vital signs collected can be relayed to central monitoring station or clinic information system.This individual vital sign flow chart that patient can also be provided is to send and to be stored in electronics patient record (EPR) or other historical data base.
Fig. 6 is that diagram is equipped with such as (CF) monitor unit 10 of one or more interface ports such as slot 25 of standard " compact flash ".Though above expansion pod 71 and 72 is described as docking with biosensor, also can and any such module that may develop future, selects expansion pod 71 and 72 from a large amount of current memory and I/O module.As shown in Figure 6, can select the expectation module from following modules: storage CF card 111 and/or be provided to the card of the visit of wide area network (WAN) or Local Area Network, for example: fax adds modem CF card 112, standard ethernet CF card 113, wireless ethernet FHSS CF card 114, wireless blue tooth CF card 116 and/or wireless ethernet 802.11b and/or CF card 117.Can comprise that with other card 119 that the monitor unit 10 that compact flash slot 25 is installed uses for example the two BT of 802.11g add WLAN, cell phone and/or bar code scanner CF card.Monitor unit 10 according to the present invention can be operated any such expansion pod with the integrated function that is provided by these expansion pod and the function of monitor unit 10.
As mentioned above, with monitor unit 10 miniaturizations, and can wirelessly operate.Because its miniaturization, it can be used to the patient that comprises that neonate, child and adult are all kinds of.Monitor unit 10 can use software pattern and algorithm, and various physiology limitation and restrictions are provided, and makes its operation adapt to described different types of patient.
In hospital all in the time of staying (LOS), above-mentioned monitor unit 10 is suitable for distributing to and uses constantly on given patient patient.When distributing to patient by this way, monitor unit 10 can be supported patient monitoring, and need be under any situation of following clinical setting: (a) emergency room, (b) intensive care chamber, (c) operation before, the operation among and the operation after environment, (d) use the removing patient of the wireless telemetering of patient parameter data to monitor, (e) hospital ward monitors with (f) outside hospital, on patient, remove and apply again pick off, perhaps disconnect connection and reconnect any sensor electrical cable connector.Monitor unit 10 can also with radio positioner system communication, thereby in whole hospital Continuous Tracking patient's position.

Claims (17)

1. one kind is used to monitor and handles signal parameter that obtains from patient and the system that is assembled into portable monitor unit, comprising:
Data acquisition processor is used to receive and handles from the patient parameter data of a plurality of different patient's sensors configured so that the patient parameter data after the processing to be provided;
Image reproducing apparatus is used for the patient parameter data after the display process;
Communication interface is used for the patient parameter data after the described processing is sent to:
In first pattern, described image reproducing apparatus is to show;
In second pattern, when described portable monitor unit by the wire communication mooring in the mooring station time, described mooring station; With
In three-mode, be coupled to the Network Access Point of communication network by radio communication; With
Power subsystem is used for to the battery charge in the described portable monitor unit,
It is characterized in that,
When portable monitor unit breaks away from from the mooring station, described communication interface automatically between wired and radio communication, switch with keep with following equipment in continuous communiction one of at least, described equipment comprises: (a) local point-of care equipment; (b) communication network; (c) central monitoring station.
2. according to the system of claim 1, wherein:
When portable monitor unit broke away from from the mooring station, the pick off of described a plurality of patient's configurations kept being connected with patient.
3. according to the system of claim 2, wherein:
The pick off of described a plurality of patient's configurations is connected to described data acquisition processor by cable; With
When portable monitor unit broke away from from the mooring station, the cable maintenance was connected with data acquisition processor.
4. according to the system of claim 3, wherein:
This cable is connected to data acquisition processor by adapter; With
When portable monitor unit broke away from from the mooring station, the adapter maintenance was connected with data acquisition processor.
5. according to the system of claim 1, wherein in described three-mode, described portable monitor unit support following one of at least, (a) patient wear with the supervision that is supported in patient parameter in patient's moving process and (b) the portable use of nursery work personnel to check the parameter of a plurality of patients on diverse location.
6. according to the system of claim 1, wherein said first and three-mode operate simultaneously the patient parameter data after the described processing being sent to described image reproducing apparatus showing, and send the described Network Access Point that is coupled to described communication network to.
7. according to the system of claim 1,, after predetermined interval, close described image reproducing apparatus to save power wherein in response to preprogrammed instruction.
8. according to the system of claim 1, wherein in four-mode, the patient parameter data of described communication interface after with described processing send in the following equipment one of at least, (a) be used to regulate the processor of patient parameter data to show after the described processing on high-resolution display device, described high-resolution display device has the image resolution ratio higher than described image reproducing apparatus; (b) be used to regulate patient parameter data after the described processing on mobile flat computer equipment, to show.
9. according to the system of claim 1, the patient parameter data after the wherein said processing comprise comprise in the following physiological data one of at least: (a) electrocardiogram (ECG) data; (b) blood parameters data; (c) ventilation parameter data; (d) infusion pump related data; (e) intrusion or non-intruding blood pressure data; (f) pulse data; (g) temperature data and (h) breath data.
10. according to the system of claim 1, wherein said first, second and three-mode are supported the signal parameter under the various clinical situation, and described clinical setting comprises two or more in following: (a) emergency room; (b) intensive care unit; (c) operation before, the operation among and the operation after environment; (d) use the ambulatory patient of the wireless telemetering of patient parameter data to monitor; (e) hospital ward monitors with (f) outside hospital.
11. according to the system of claim 1, comprise the interface port that is used to receive compact flash equipment, described equipment comprise following one of at least: (a) memorizer and (b) support the card that wide area network or LAN insert.
12. according to the system of claim 1, wherein said communication interface comprises the radio receiving-transmitting unit of compatible bluetooth 802.15.
13. according to the system of claim 1, the network or the local communication of wireless technology is used in wherein said communication interface support, described wireless technology comprise following one of at least: (a) communication of compatible WLAN 802.11b standard; (b) communication of compatible 802.11a standard; (c) communication of compatible 802.11g standard; (d) compatibility of compatible bluetooth 802.15 standards; (e) communication of compatible GSM/GPRS standard.
14., wherein, described portable monitor unit is distributed to described patient in the single given patient persistent period that a plurality of hospital cares zone stops in hospital according to the system of claim 1.
15. according to the system of claim 1, wherein said communication interface is communicated by letter with the wireless position detection system, and supports patient location to follow the tracks of.
16. according to the system of claim 1, wherein said portable monitor unit can be distributed to given patient as required to support described patient's vital sign selective examination.
17. one kind is used to monitor and handles signal parameter that obtains from patient and the method that is assembled into portable monitor unit, comprises step:
Receive and handle from the patient parameter data of a plurality of patient's sensors configured so that the patient parameter data after the processing to be provided;
Patient parameter data after the described processing is sent to:
In first pattern, image reproducing apparatus is to show;
In second pattern, when described portable monitor unit by the wire communication mooring in the mooring station time, described mooring station; With
In three-mode, be coupled to the Network Access Point of communication network by radio communication;
When portable monitor unit breaks away from from the mooring station, the described communication interface that automaticallyes switch between wired and radio communication with keep with following equipment in continuous communiction one of at least, described equipment comprises: (a) local point-of care equipment; (b) communication network; (c) central monitoring station,
Begin the demonstration of the patient parameter data after the described processing; With
In second pattern, when portable monitor unit breaks away from from the mooring station, give the battery charge in the described portable monitor unit.
CN 200380110561 2003-11-12 2003-12-05 A portable system for monitoring and processing patient parameters in multiple operational modes Expired - Lifetime CN100518625C (en)

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