Multifunctional long distance monitoring and first aid handling system for health status in multiple transmission paths
Technical field
Patent of the present invention belongs to medical real-time monitoring device field, especially a kind of multifunctional long distance monitoring and first aid handling system for health status in multiple transmission paths.
Background technology
Because various social pressurees are bigger, suffer from the numerous of heart, cardiovascular and cerebrovascular disease and increase very soon in the modern society, become one of maximum several diseases of mortality rate.At present, existing part health monitoring system and existing patent relate to this type of custodial care facility.But they adopt the simple microprocessors of function such as single-chip microcomputer mostly to the processing of physiological data, and the speed of service is slow, and data-handling capacity and analytical judgment ability are extremely limited, some problems below main the existence:
1. existing equipment uses the random access memory storage physiological data of microprocessors such as single-chip microcomputer more, and memory data output is limited; Or physiological data all delivered to the monitoring center, and strengthened the data storage burden at monitoring center, also increased the channel occupancy time at monitoring center, cause the waste of channel resource.
2. existing system does not possess the ability by doctor or monitoring center remote live remote control fully, even doctor or monitoring center find that emergency situation has appearred in patient, before patient does not arrive hospital, carry the means of the work of equipment completely without the remote control patient, can only allow the carry-on equipment of patient to follow the fixed routine sequence detection patient's of oneself physiological data.
3. existing equipment just is designed to an independent service for patients mostly, and utilization rate of equipment and installations is low.Need the numerical digit patient to have the quantity that increases equipment simply only and just can reach under the occasion of monitoring service simultaneously.
4. existing system does not possess automatic critical disposal ability, is artificial treatment, and speed is slow, and efficient is low, easily makes mistakes.
5. existing equipment is big multi-functional simple, and the physiological detection project is limited, and measured physiological data deficiency is judged patient's state of an illness so that doctor and first aid process personnel are correct before not touching patient, so that incurs loss through delay patient's the state of an illness and to patient's rescue.
6. existing equipment all is changeless to the project of the detection of patient's physiological data all the time, and no matter which kind of patient's the state of an illness occurs and change, and the test item of equipment and detection rates are also without any change.Lack of wisdomization detects operating capability automatically.
7. the wireless data transmission path of existing equipment is single, and reliability of data transmission is poor.The holding time of wireless channel is long, and efficiency of transmission is low, causes the waste of radio channel resource.
The 8 existing equipments coded systems that adopt better simply transfer of data more, poor anti jamming capability, bit error rate height.
9. the wireless receiving and dispatching in the existing equipment is penetrated machine for improving reliability of data transmission, often uses bigger electromagnetic wave transmitting power, to patient is exposed in the strong-electromagnetic field contaminated environment for a long time.
10. existing equipment scarcely possesses the function that allows doctor and patient directly converse.If sb.'s illness took a turn for the worse when patient went out,, also, increase the rescue work difficulty because existing equipment does not provide patient's instant geographical location information to the first-aid personnel even the first-aid personnel learns the generation of emergency situation; If occur emergency situation this moment when patient just is being in the how noisy public place of people, existing equipment is also providing any quick discovery patient's means to the first aid people, thereby further increased the difficulty of rescue work under complex environment.
11. the many volumes of existing equipment are bigger, bring inconvenience for carrying of patient.
In sum, physiological parameter to this class patient detects in real time, and with data in time errorless be sent to base station master computer and central data processing computer, physiological data to patient carries out fast automatic analyzing and processing, for the early discovery of critical pathological changes and urgent patient's the dark tool significance of timely rescue.
Summary of the invention
The objective of the invention is to overcome the deficiencies in the prior art, a kind of wireless data transmission and computer transmission process means utilized are provided, realize, physiological data instantaneous transmission strong, rescue and react multifunctional long distance monitoring and first aid handling system for health status in multiple transmission paths timely patient's monitoring capacity.
The present invention solves its technical problem and takes following technology ten thousand cases to realize:
Multifunctional long distance monitoring and first aid handling system for health status in multiple transmission paths is by the portable machine system, the base station mainframe computer system, central monitoring first aid process center is formed, it is characterized in that: the portable machine system is by the physiological feature detecting sensor, the portable machine data processor, portable machine short distance RF receiver/transmitter, the GPS receiver constitutes, the base station master computer is by the base station data processor, the base station data storage, base station short distance RF receiver/transmitter is formed, base station short distance RF receiver/transmitter and portable machine short distance RF receiver/transmitter work in the transmitting-receiving of fast frequency-hopped mode duplex, portable machine is gathered patient's various physiological datas by the physiological feature detecting sensor, process portable machine short distance RF receiver/transmitter is to base station short distance RF receiver/transmitter wireless transmission physiological data, or through patient's mobile phone, cell phone network, the PSTN adapter is to base station data storage long distance wireless transmission physiological data, and the data in the base station stores device can be long-range to the central database wirelessly transmitting data by the PSTN adapter that the base station data processor is installed.
And the portable machine system passes through physiological feature pick off noinvasive and surveys physical signs such as patient's EKG, the rhythm of the heart, blood pressure, blood oxygen, breathing, body temperature, instant condition.
And, the exchanges data of portable machine system and base station mainframe computer system is provided with two wireless propagation paths: a short-distance wireless data transmission network road direction base station of being made up of portable machine short distance RF receiver/transmitter and base station short distance RF receiver/transmitter transmits data, another wireless transmission networking is the patient's mobile phone that connects by its handset port, PSTN adapter and the cell phone network installed via base station carry out wireless data exchange with base station, perhaps transmit data through the Internet to central monitoring first aid process center again.
And the base station master computer can connect a plurality of portable machines, and promptly base station master computer can be accepted the transfer of data of a plurality of portable machines simultaneously.
And described portable machine data processor is small-sized microprocessor, and the base station data processor is quick PC; GPS receiver, portable machine short distance RF receiver/transmitter and base station short distance RF receiver/transmitter are the commercially available prod.
And, the short-distance wireless data transfer path in the described system and the switched design of long distance wireless propagation path are carried out in the portable machine data processor, the portable machine data processor is monitored the strength of carrier of short-distance wireless received signal at any time, when it dropped to the thresholding amplitude, the portable machine data processor went to the long distance wireless data transmission channel automatically with the wireless data transmission path that the physiological property data reach the base station master computer; When its strength of carrier rises above behind the threshold threshold, then transfer back to the short-distance wireless data transmission channel automatically.
And, the design of described system is when the base station master computer judges that patient emergency situation or patient occur and presses emergent emergency button, the base station master computer just instructs the GPS receiver of portable machine system to send the geographical coordinate of patient's present position to central first aid process center, instructs the short distance RF transmitter of portable machine system to begin the target-seeking beacon of transmitting radio in the off time of emission physiological data simultaneously.
And, system is designed to the Remote platform for the doctor, doctor's terminal is via the long-range base station master computer that is connected in central monitoring first aid process center and the Internet, doctor's all settings or the patient's of modification detection scheme and critical processing prediction scheme all are stored in the base station mainframe computer system, control portable machine automatically by the base station master computer and carry out at random; Or the doctor is in the work of the direct remote live remote control of its terminal base station mainframe computer system and portable machine system.
And, system is to the analysis and the work of treatment of patient's physiological data, design is carried out in the high-speed data processor of base station mainframe computer system, when the physical signs of judging patient when software exceeds standard, Automatic Program is selected an emergency preplan that adapts to most from the emergent family that puts on record, dynamically control the detection sampling of portable machine to patient's physiological property index; System is designed to, and the base station master computer is just put on record automatically and transmitted related data to central monitoring first aid process center only when patient's physical signs exceeds standard.
Advantage of the present invention and good effect are:
1. patient is carried out the detection of physiological feature project comparatively comprehensively, be convenient to data handling machine and doctor's judgement patient state of an illness promptly and accurately of monitoring emergency processing system.Wherein the detection in real time of patient's instant body posture is the original test item of the present invention.
2. have the detection of dynamic ability, the physiology project of its detection and the assay intervals of each physiology project are subjected to the intelligent STOCHASTIC CONTROL of base station data handling machine, to reach best detection monitoring effect.
3. its system is a two-way communication network, and doctor and central monitoring first aid process center can be passed through the work of this system remote remote control portable machine and base station master computer very easily.System has the ability of remote service, no matter base station computer (210) apart from central monitoring first aid process center (310) how far, as long as chain the service that the Internet can obtain central monitoring first aid process center (310).This feature makes that holding backwoodsman patient obtains to be positioned at the specialized instant medical matters monitoring service in key city.
4. system provides a long-range platform that is provided with for the doctor, and the doctor can be long-range multiple detection scheme and the critical processing prediction scheme of being provided with at random of each patient easily, and is stored in the base station master computer, controls portable machine automatically by the base station master computer and carries out at random.The doctor can also revise it by this system easily and be provided with, or even controls the work of base station master computer and portable machine in real time.
5. for to reduce the volume weight and the power consumption of portable machine, and pursue high speed date processing, the analyzing and processing of patient's physiological data does not design at portable machine, and carries out in the base station computer.The base station computer is a data computer with higher arithmetic speed and larger process ability, and for reducing equipment cost, the base station computer uses ultrafast personal computer (PC).
6 for the workload that reduces central monitoring first aid process center and the channel transmitted holding time of data, the analysis of patient's actual measurement physiological data and work of treatment mainly is placed in the base station master computer carries out.Thereby service can be handled for many base stations provide monitoring emergency in a central monitoring first aid process center.
7. each patient's normal physiological data are only done limited amount data preservation in the base station master computer, and refresh automatically, as the reference historical summary before the critical generation.And only the prediction scheme of patient's exceed standard measured data and system is started and ruuning situation, information such as the emergency processing process of base station master computer are stored in the base station master computer, and in time deliver to central monitoring first aid process center, transfer to central monitoring first aid process center and do that emergency event is handled and data storage, to reduce in each base station and the central monitoring first aid process exchanges data flow in the heart.
8. the information such as historical data that exceed standard of the emergency processing process at the prediction scheme startup of patient's exceed standard measured data and system and ruuning situation thereof, central monitoring first aid process center and patient's physiology all will be stored in the central database at central monitoring first aid process center, and this is a bigger data base.
9. the central data processor (CDP) at central monitoring first aid process center is a relatively large computer, fast operation, memory space is big, data-handling capacity is strong, and possesses the ability of automatic critical processing, can finish the processing of each patient's critical affairs voluntarily, improve the processing speed and the efficient of critical event, reduce the generation of human error.
10. stored patient's physiological data is set up two kinds of different wireless propagation paths to the transmission of base station in the portable machine of system.That is, patient one of distance portable machine specific among a small circle in when (staying at home) as patient, portable machine uses the micropower wireless data transmission path of low coverage; When portable machine found that patient walks out of this and (leaves home to go out as patient) among a small circle, portable machine was transformed into long distance wireless data transmission path automatically, continues the physiological data to base station transmission patient.
11. adopt the modern digital mechanics of communication, in the transfer of data of system, use advanced fast frequency-hopped technology and spread spectrum, in order to increase the capacity of resisting disturbance of system, improve reliability of data transmission and safety.
12. adopt circuit switching and packet-switch technology, insert in order to the wireless monitoring of supporting many group patients.Therefore system has the high capacity service ability, and a base station can provide the function of real-time monitoring and critical processing and transfer of data simultaneously for a plurality of patients that concentrate relatively.That is a base station can be served a plurality of portable machines by short distance.
13. use little electromagnetic wave power transmission data, and the electromagnetic transmitting power of the dynamic control of automated intelligent, in order to reduce the infringement of electromagenetic wave radiation to patient.
14. the portable machine of system has the function that doctor or central monitoring emergency center or first-aid personnel directly converse with patient.When emergency situation appearred in patient, the doctor can in time recognize patient's state of an illness, and patient directions and families of patients are saved oneself and cooperated first-aid personnel's rescue work.
15. when patient occurred that emergency situation or patient are autonomous and reports to the police, the GPS receiver of portable machine provided patient's instant geographical coordinate information to the first-aid personnel, the first-aid personnel just can determine patient position this moment at once.
16. when patient occurred that emergency situation or patient are autonomous and reports to the police, portable machine is transmitting radio beacon continuously automatically also, so that the first-aid personnel is promptly and accurately discovery patient in complex environment.
17. when judging that in system patient's physical signs is abnormal, portable machine is to patient's warnings of sounding, in order to point out patient.
18. portable machine adopts miniaturized design, overall volume is little, is convenient to patient and carries.
Description of drawings
Fig. 1 is a system block diagram of the present invention.
Fig. 2 is base station master computer of the present invention (210) provides the monitoring service simultaneously to the multidigit patient a sketch map.
Fig. 3 is the system schematic that N base station master computer served at central monitoring first aid process of the present invention center (310).
Fig. 4 is the data processor of portable machine system and the circuit theory diagrams of part of data acquisition;
Fig. 5 is the circuit theory diagrams of emission/reception of portable machine system and power pack.
The specific embodiment
Below in conjunction with accompanying drawing the present invention is done detailed description, further set forth its essential characteristics and obvious improvement.
Fig. 1 illustrates system-wide operation principle block diagram.System is made up of portable machine (110), base station master computer (210) and central monitoring first aid process center (310).
In the portable machine 110, physiological feature detecting sensor 102 is sampled the physiological characteristic data of human bodies such as EKG, blood pressure, blood oxygen, breathing, pulse, body temperature, instant body posture one by one under the control of data sampling and signal controlling 101 and deliver to portable machine data processor 100 after the A/D conversion.Portable machine data processor 100 is control maincenters of portable machine, and its manages and controlling the ruly sequential working of all parts of whole portable machine.Be in the short distance working range with base station (for example patient at home) when patient takes portable machine, physiological data is that the short distance RF receiver/transmitter 103 via portable machine is wirelessly transmitted to base station short distance RF receiver/transmitter 203 and delivers in the base station master computer 210.If portable machine data processor 100 judges that the signal intensity of base station drops to a certain degree, the sampled data of portable machine 110 then goes to automatically by patient's mobile phone 106 and delivers to base station master computer 210 via the delivering path of cell phone network and PSTN (public telephone network).System design is that patient's mobile phone is only connected in a moment of transfer of data, takies the mobile phone channel and transmits data, to improve the service efficiency of mobile phone channel.If this moment, system judged that patient's emergency situation takes place, the GPS receiver 108 of portable machine together sends the residing instant geographical position coordinates of patient to central monitoring first aid process center in company with physiological data automatically.The emission of the wireless beacon in the portable machine is to utilize the short-distance wireless communication channel to launch target-seeking beacon in the gap of transfer of data around patient is on-site, makes the rescue personnel that show up in time find patient, wins rescue time.
LCD digital display machine index exceeding standard indicator 105 provides the instant playback of measured data for patient.When measured data exceeds standard, portable machine by sound alarm 121 from the trend patient alarm prompt of sounding.The 107th, the emergency button that patient cries for help to central monitoring first aid process center when feeling bad.
In the service centre that base station master computer 210 is located in the patients home or patient concentrates relatively (as hospital, sanatorium, the home for the aged, community health service center or the like), base station short distance RF receiver/transmitter 203 constitutes wireless data transmission channel with portable machine short distance RF receiver/transmitter 103.Physiological data from portable machine is sent to base station data processor 200, and this is the dedicated data processor of a ultrafast personal computer (PC) for the basis, has very fast stronger physiological data disposal ability and data analysis judgement.It also has bigger data space (data storage and manage 201), is wherein storing the historical data of patient's the historical physiological data of nearest actual measurement and exceed standard physiological data and critical processing procedure thereof.The doctor is at each patient's the different state of an illness, particular physiological characteristic monitoring index and monitoring scheme, and the various emergency preplan family that presets for each patient of doctor also is stored in the emergency preplan of computer and is provided with in 202.Base station data processor 200 is at first done routine examination according to doctor's prediction scheme to patient, immediately compare the normal range that patient's physiological data of recording and doctor are set: do not exceed normal value as instant data, base station data processor 200 will provide next identical detection instruction; If but base station data processor 200 judges that recording patient's physical signs immediately continues to exceed normal range, it will be automatically according to the project of measured data and plussage automatically from the doctor set in advance put on record select the content and the assay intervals of a project setting physiological detection that adapts to most, send and nextly detect instruction to portable machine 110.Meanwhile whether base station data processor 200 is also put on record to central monitoring first aid process center 310 according to doctor's the decision of putting on record, even reports to the police to central monitoring first aid process center 310.Base station master computer 210 is by PSTN adapter 206 with communicating by letter of 310 at central monitoring first aid process center, carries out via PSTN and the Internet.The doctor also can be through approach remote control at any time or modification prediction scheme and emergency processing measure thus.All physiological datas all will be presented on the data show 208 of computer in real time.If needed, data also can be exported 205 by data and send.When patient's physical signs exceeded standard, the speaker of audible alarm 207 can send chimes of doom, the families of patients and the nursing staff that are in warning.
Central monitoring first aid process center 310 is a relatively large data process machine and data base.Service can be handled for numerous base stations provide monitoring emergency in a central monitoring first aid process center 310.Central data processor (CDP) 300 carries out the real-time processing and the computing of the various physiological datas of patient, is depositing historical data that a large amount of patient's digitized case histories, digitized survey report, all patient's portable machines send, doctor in its central database 301 at each patient's the various prediction schemes and the historical archives of critical treatment measures.Data among this data base also become the first-hand valuable data of medical research.Each patient's data and data are sent by each base station master computer 210, and deliver to central data processor (CDP) 300 and central database 301 through the Internet via PSTN adapter 206.When emergency situation appearred in certain patient, the implementation status of its instant physiology measured data and part historical data and doctor's processing prediction scheme all was sent to central data processor (CDP) 300 and central database 301.Central data processor (CDP) 300 presets according to the doctor's, automatically whether decision needs critical event to handle, notify this patient's responsibility doctor 600, determine the first aid process scheme by the doctor, promptly get in touch hospital emergency room, 120 emergency centers 500 by doctor or the central monitoring first aid process center of handling, and the direct relatives or the contact person 400 that notify patient rapidly.The processing procedure of all first aid affairs at central monitoring first aid process center 310 is all carried out automatically, almost need not operator's intervention, in order to processing speed and the efficient of raising system to critical event, reduces the generation of human error.
Fig. 2 is base station master computer of the present invention (210) provides the monitoring service simultaneously to the multidigit patient a sketch map.The short-distance wireless data transmission channel of base station master computer (210) can provide separately independently wireless data transfer services for a plurality of portable machines (110) simultaneously.This moment, one stylobate platform master computer (210) can be respectively nearly that 200 portable machines (patient) provide the monitoring service, and at a time only simultaneously wherein one group of portable machine a-g (being patient a-g) is carried out transfer of data exchange and data analysis and date processing thereof, and will be wherein any one and several patients' exceed standard physiological data and different doctor (a-g) thereof to the implementation status of patient's (a-g) different prediction schemes separately, deliver to central monitoring first aid process center (310).To the other one group of portable machine (being patient) that so serve simultaneously wherein again at another moment base station master computer (210).If central monitoring first aid process center (310) is judged when wherein any one is in a bad way with several patients, just start their emergency measure automatically, notify them responsibility doctor (600a-600g), 120 emergency centers (500) and relatives and related personnel (400a-400g) thereof separately.Many service objects' that this base station master computer provides function is specially adapted to the monitoring place that patient comparatively concentrates, as hospital, sanatorium, the home for the aged, community health service center or the like.
Fig. 3 is the system schematic that N base station master computer served at central monitoring first aid process of the present invention center (310).Central monitoring first aid process center (310) utilizes the powerful Data Management Analysis ability of its high-speed data computer, with the storage capacity of its large database, can be simultaneously provide long distance monitoring and emergency processing service for user's (being patient) of a large amount of portable machine-base station master computers.N shown in the figure portable machine-base station master computer long-distance user, they are linked in central monitoring first aid process center (310) by the Internet.If wherein any one and a plurality of portable machines-base station master computer long-distance user's patient's physical signs is undesired, its each patient exceeds standard physiological data and different doctor thereof to the implementation status of patient's different prediction schemes separately, just delivers to central monitoring first aid process center (310) by the Internet.Central data processor (CDP) (300) carries out rapid data analysis and processing to these initial datas according to the prediction scheme that each patient's doctor separately is stored in the central database (301) in advance.When sb.'s sickness becomes critical if any one and several patients are judged wherein in central monitoring first aid process center (310), just start their emergency measure automatically, notify them doctor (600a-600n), 120 emergency centers (500) and relatives and related personnel (400a-400n) thereof separately.
The partial circuit figure of portable machine such as Fig. 4, shown in Figure 5, the detection signal of physiological property pick off is sent into portable machine via sensor socket J1, and interface and the signal of finishing the enabling of pick off, pick off in this sensor interface and data acquisition module U2 amplifies, the A/D conversion.Data acquisition module U2 is connected in FPGA module U5, and this FPGA module is the special interface circuit of data processing module, is a ultra-large PLD.FPGA module U5 connects microprocessor U8, LCD display U1, GPS receiver module U3, FPGA clock module U4 and power amplifier respectively.Microprocessor U8 and data buffering U9, bin RAM (U11) and ROM (U10) form data processor (transmission and the function of demonstration, management of sensors, short distance emission/reception in order to the management of handling the physiological detection project, data controlled, the signal intensity judgement in short-distance wireless loop, the data in mobile phone transmission channel enables and the generation and the emission of management, target-seeking beacon signal enable).Clock module U7 provides clock pulses for microprocessor U8.Microprocessor U8 is provided with SR S2, and this SR is the reset switch of microprocessor, also is the reset switch of portable machine complete machine.LCD display U1 is the random data display of portable machine, in order to showing the project and the data of instant detection to patient, and the duty of portable machine complete machine.When the physical signs that detects exceeds standard, data processor will be sent an acoustical signal of reminding patient to note, sound through power amplifier U12 and by speaker LS1.Emergency button S1 connects special purpose interface U5, and S1 is the button of independently crying for help to central monitoring first aid process center when feeling bad for patient, and this distress signal is enjoyed the highest priority in portable machine.When emergency button S1 presses, distress signal will be launched in the very first time.GPS receiver module U3 provides the geographical location information at once (that is place, patient's place at once) of portable machine to system.
Mobile phone socket J2 links to each other with FPGA.
Fig. 5 is the emission/reception of portable machine and the circuit theory diagrams of power pack.Transmit/receive module U15 serves as the generation of coding, carrier transmit signal of short distance data transmission channel and modulation, transmitting power control, and the work of radiofrequency signal reception, demodulation, decoding.The PA module U14 that connects by its special purpose interface is a radio-frequency power amplifier, its effect be the power amplification of radiofrequency signal that U15 is sent here after short distance dual-mode antenna ANT1 sends, this PA module U14 is clean with clutter outside the short distance channel band and noise filtering through band filter U13 (BPF).The emission of portable machine and the shared antenna ANT1 of reception are equipped with in module U15 and U14 and send out/receive permutator.The electric power that switching regulator regulated power supply integrated circuit U18 provides battery BT1 converts the required power supply of portable machine each several part circuit working to.U16 is battery charging and discharging management and control circuit, and U17 is an energy supply control module, and the external charge power supply is introduced from battery charge socket J3, and rechargeable battery BT1 is charged.
Described data acquisition module is a sensor signal processor, described FPGA module is ultra-large PLD, described data processing module is small-sized microprocessor, and described transmit/receive module is a short distance RF receiver/transmitter, and described GPS receiver module is the GPS receiver.
The connection of above-mentioned parts is conventional the connection or special purpose interface connection, narration no longer one by one.