WO2023036264A1 - 一种监护方法和监护系统 - Google Patents

一种监护方法和监护系统 Download PDF

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Publication number
WO2023036264A1
WO2023036264A1 PCT/CN2022/117914 CN2022117914W WO2023036264A1 WO 2023036264 A1 WO2023036264 A1 WO 2023036264A1 CN 2022117914 W CN2022117914 W CN 2022117914W WO 2023036264 A1 WO2023036264 A1 WO 2023036264A1
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WO
WIPO (PCT)
Prior art keywords
monitoring
patient
mode
monitoring device
mobile
Prior art date
Legal status (The legal status 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 status listed.)
Ceased
Application number
PCT/CN2022/117914
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English (en)
French (fr)
Inventor
李新胜
冯向英
刘中华
李利亚
岑建
罗汉源
刘启翎
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Shenzhen Mindray Bio Medical Electronics Co Ltd
Original Assignee
Shenzhen Mindray Bio Medical Electronics Co Ltd
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 Shenzhen Mindray Bio Medical Electronics Co Ltd filed Critical Shenzhen Mindray Bio Medical Electronics Co Ltd
Priority to EP22866725.9A priority Critical patent/EP4400032A4/en
Priority to CN202280061031.0A priority patent/CN117940058A/zh
Publication of WO2023036264A1 publication Critical patent/WO2023036264A1/zh
Priority to US18/600,561 priority patent/US20240206733A1/en
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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Classifications

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Definitions

  • the invention relates to the medical field, in particular to a monitoring method and a monitoring system.
  • Mobile monitoring is one of the hotspots in clinical research in recent years. It mainly solves the problem of low compliance and insufficient monitoring rate caused by patients who need monitoring due to the constraints of monitoring methods, and the inconvenience of getting out of bed, so that potential risks cannot be detected in time. .
  • Mobile monitoring uses wearable sensors and wireless data transmission to monitor the basic physiological parameters of the patient, and can still monitor the patient without affecting the patient's activities.
  • the provided physiological parameters can meet the individual needs in specific clinical scenarios.
  • wearable sensors and wireless data transmission methods are currently the focus of various manufacturers, and various product forms and diversified wireless transmission methods have been launched, which have formed a wide range of clinical applications.
  • the invention mainly provides a monitoring method and a monitoring system, which can meet different monitoring requirements.
  • An embodiment provides a monitoring system, including: a bedside monitor, a mobile monitoring device, and a central station, wherein,
  • the bedside monitor is used to monitor the patient and is paired with the mobile monitoring device;
  • the mobile monitoring device is used to wear on the patient's body to monitor the patient and obtain monitoring data;
  • the working mode of the mobile monitoring device includes continuous monitoring mode and interval monitoring mode;
  • the mobile monitoring device is also used for:
  • the patient is monitored at intervals, and the physiological parameter data of the patient detected by the point measuring device is received through the first wireless transmission mode; the monitoring data obtained by the interval monitoring and the physiological parameter data detected by the point measuring device are passed The second wireless transmission mode transmits to the central station;
  • An embodiment provides a monitoring system, comprising:
  • the mobile monitoring device is used to wear on the patient's body to monitor the patient and obtain monitoring data;
  • the working mode of the mobile monitoring device includes continuous monitoring mode and interval monitoring mode;
  • the mobile monitoring device is also used for:
  • the patient is monitored at intervals, and the physiological parameter data of the patient detected by the point measuring device is received through the first wireless transmission mode; the monitoring data obtained by the interval monitoring and the physiological parameter data detected by the point measuring device are passed The second wireless transmission mode transmits to the central station;
  • the patient is continuously monitored; the monitoring data obtained from the continuous monitoring and the physiological parameter data detected by the spot measuring equipment are transmitted to the central station through the second wireless transmission method.
  • An embodiment provides a central station, which is applied to a monitoring system, and the monitoring system further includes: a mobile monitoring device wirelessly connected to the central station;
  • the mobile monitoring device is used to wear on the patient's body to monitor the patient, obtain monitoring data, and receive the patient's physiological parameter data detected by the spot measuring device through the first wireless transmission mode;
  • the working mode of the mobile monitoring device includes continuous monitoring mode and interval monitoring mode;
  • the central station is used for:
  • the received monitoring data is processed to obtain at least one of physiological parameter values, physiological parameter curves and alarm events, and displayed according to patients.
  • An embodiment provides a monitoring system, comprising:
  • the mobile monitoring device is used to wear on the patient's body to monitor the patient and obtain monitoring data;
  • the working mode of the mobile monitoring device includes continuous monitoring mode and interval monitoring mode;
  • the mobile monitoring device is also used for:
  • the patient is monitored at intervals, and the physiological parameter data of the patient detected by the point measuring device is received through the first wireless transmission mode; the monitoring data obtained by the interval monitoring and the physiological parameter data detected by the point measuring device are passed
  • the second wireless transmission mode transmits to the bedside monitor;
  • the bedside monitor Working in the continuous monitoring mode, it is paired with the bedside monitor to jointly monitor the patient continuously; the monitoring data obtained by continuous monitoring and the physiological parameter data detected by the spot measuring equipment are transmitted to the patient through the second wireless transmission method. bedside monitor.
  • An embodiment provides a monitoring system, including a mobile monitoring device and a point measuring device,
  • the mobile monitoring device is used to be worn on the patient's body to monitor the patient to obtain the first monitoring data, and the mobile monitoring device communicates with the target monitoring device;
  • the spot measuring device is used to detect the physiological parameter data of the patient
  • the mobile monitoring device includes a processor, a first wireless communication unit and a second wireless communication unit, and the mobile monitoring device receives the patient's information detected by the point measuring device through the first wireless communication unit in a first wireless transmission mode.
  • Physiological parameter data and transmit the first monitoring data and the received physiological parameter data of the patient detected by the point measuring device to the target monitoring device through the second wireless communication unit, wherein , the wireless communication protocols adopted by the first wireless communication unit and the second wireless communication unit are different, and the first wireless transmission mode is different from the second wireless transmission mode.
  • An embodiment provides a monitoring system, including a mobile monitoring device and a point measuring device,
  • the mobile monitoring device is used to be worn on the patient's body to monitor the patient to obtain the first monitoring data, and the mobile monitoring device communicates with the target monitoring device;
  • the point measuring device is used to detect the physiological parameter data of the patient; it is characterized in that:
  • the mobile monitoring device includes a processor, a first wireless communication unit and a second wireless communication unit, and the mobile monitoring device receives the patient's information detected by the point measuring device through the first wireless communication unit in a first wireless transmission mode.
  • Physiological parameter data and transmit the first monitoring data and the received physiological parameter data of the patient detected by the point measuring device to the target monitoring device through the second wireless communication unit, wherein , the wireless communication protocols adopted by the first wireless communication unit and the second wireless communication unit are different, and the first wireless transmission mode is different from the second wireless transmission mode.
  • An embodiment provides a monitoring device, which is applied to a monitoring system, and the monitoring system further includes: a mobile monitoring device wirelessly connected to the monitoring device, and a target monitoring device wirelessly connected to the mobile monitoring device device, wherein the mobile monitoring device is used to monitor the patient by being worn on the patient's body to obtain the first monitoring data, and the mobile monitoring device communicates with the target monitoring device and sends the collected monitoring data to the target Monitoring equipment, the point measuring equipment detects the physiological parameter data of the patient,
  • the point measuring device includes a processor and a first wireless communication unit, and the point measuring device sends the detected physiological parameter data of the patient to the mobile monitoring device through the first wireless communication unit in a first wireless transmission manner , so that the mobile monitoring device transmits the received physiological parameter data of the patient detected by the point measuring device to the target through the second wireless communication unit provided on the mobile monitoring device in a second wireless transmission manner
  • the monitoring device wherein the wireless communication protocols adopted by the first wireless communication unit and the second wireless communication unit are different, and the first wireless transmission mode is different from the second wireless transmission mode.
  • An embodiment provides a monitoring method, comprising:
  • the mobile monitoring device works in the interval monitoring mode, performs interval monitoring on the patient, and receives the patient's physiological parameter data detected by the spot measuring device through the first wireless transmission method; the monitoring data obtained by the interval monitoring and the physiological parameter data detected by the point measuring device
  • the second wireless transmission mode transmits to the central station;
  • the mobile monitoring device works in the continuous monitoring mode, and is paired with the bedside monitor to continuously monitor the patient; the monitoring data obtained from the continuous monitoring and the physiological parameter data detected by the point measuring device are transmitted to the patient through the second wireless transmission method. the central station and/or the paired bedside monitor.
  • An embodiment provides a monitoring method, comprising:
  • the mobile monitoring device works in the interval monitoring mode, performs interval monitoring on the patient, and receives the patient's physiological parameter data detected by the spot measuring device through the first wireless transmission method; the monitoring data obtained by the interval monitoring and the physiological parameter data detected by the point measuring device
  • the second wireless transmission mode transmits to the central station;
  • the patient is continuously monitored; the monitoring data obtained from the continuous monitoring and the physiological parameter data detected by the spot measuring equipment are transmitted to the central station through the second wireless transmission method.
  • An embodiment provides a monitoring method, comprising:
  • the mobile monitoring device When the mobile monitoring device works in the interval monitoring mode, it performs interval monitoring on the patient, and receives the patient's physiological parameter data detected by the spot measuring device through the first wireless transmission method; the monitoring data obtained by the interval monitoring and the physiological parameter data detected by the point measuring device Transmit to the bedside monitor through the second wireless transmission mode;
  • the bedside monitor Working in the continuous monitoring mode, it is paired with the bedside monitor to jointly monitor the patient continuously; the monitoring data obtained by continuous monitoring and the physiological parameter data detected by the spot measuring equipment are transmitted to the patient through the second wireless transmission method. bedside monitor.
  • An embodiment provides a monitoring method, comprising:
  • the mobile monitoring device When the mobile monitoring device works in the interval monitoring mode, it performs interval monitoring on the patient, and receives the patient's physiological parameter data detected by the spot measuring device through the first wireless transmission method; the monitoring data obtained by the interval monitoring and the physiological parameter data detected by the point measuring device Transmit to the bedside monitor through the second wireless transmission mode;
  • the bedside monitor Working in the continuous monitoring mode, it is paired with the bedside monitor to jointly monitor the patient continuously; the monitoring data obtained by continuous monitoring and the physiological parameter data detected by the spot measuring equipment are transmitted to the patient through the second wireless transmission method. bedside monitor.
  • a monitoring method and a monitoring system include a bedside monitor, a mobile monitoring device, and a central station; the mobile monitoring device receives the patient's physiological parameter data detected by the spot measuring device through a first wireless transmission mode; the physiological parameter The data is transmitted to the central station via the second wireless transmission method.
  • the physiological parameter data of the spot measurement equipment is transmitted to the central station, which is suitable for the scene where the nurse detects the basic physiological parameters of all patients.
  • the mobile monitoring device is paired with the bedside monitor to continuously monitor the patient, and wirelessly transmits the monitoring data obtained from the continuous monitoring to the central station and/or the paired bedside monitor. Patients with serious conditions in the view.
  • the mobile monitoring device When the mobile monitoring device works in the interval monitoring mode, it performs interval monitoring on the patient, and wirelessly transmits the monitoring data obtained by the interval monitoring to the central station. It can be seen that the monitoring system of the present invention can meet the monitoring needs of different patients and different stages of the same patient.
  • Fig. 1 is the structural block diagram of an embodiment of the monitoring system provided by the present invention
  • Fig. 2 is the structural block diagram of an embodiment of the monitoring system provided by the present invention.
  • Fig. 3 is the flowchart of an embodiment of the monitoring method of the monitoring system shown in Fig. 1;
  • Fig. 4 is the flowchart of an embodiment of the monitoring method of the monitoring system shown in Fig. 2;
  • FIG. 5 is a flow chart of an embodiment of a postoperative monitoring scene in the monitoring system provided by the present invention.
  • FIG. 6 is a flowchart of an embodiment of an emergency observation scene in the monitoring system provided by the present invention.
  • Fig. 7 is the structural block diagram of an embodiment of the monitoring system provided by the present invention.
  • Fig. 8 is a structural block diagram of an embodiment of the monitoring system provided by the present invention.
  • Fig. 9 is a structural block diagram of an embodiment of the monitoring system provided by the present invention.
  • connection and “connection” mentioned in this application include direct and indirect connection (connection) unless otherwise specified.
  • the present invention constructs a monitoring system involving mobile monitoring, with mobile monitoring equipment as the core, combined with various product forms and working methods, it can meet the diverse clinical needs of sub-severe disease departments, improve work efficiency, and finally build a system that can be widely used system solution.
  • the monitoring system provided by the present invention includes: a monitoring device 40 , a monitoring terminal 12 and multiple (two or more) mobile monitoring devices 30 .
  • Wireless communication is possible between the monitoring terminal 12 and the mobile monitoring device 30
  • wireless communication is also possible between the monitoring device 40 and the mobile monitoring device 30 .
  • the point measuring device 40 is used to detect at least one physiological parameter of the patient according to the user's operation, obtain the physiological parameter data, and wirelessly transmit the detected data to the mobile monitoring device 30 worn by the patient.
  • the point measuring device 40 can enable the mobile monitoring device 30 to obtain the above physiological parameter data through the first wireless transmission method.
  • the point-measuring device 40 is not a device dedicated to a certain patient, but a physiological parameter measurement device suitable for multiple patients, which can realize basic physiological parameter measurement for all patients in the department.
  • the physiological parameter data detected by the spot measuring device 40 may include at least one of body temperature parameter data, blood pressure parameter data, and blood sugar parameter data. That is, the spot measuring device 40 can be a thermometer, a blood pressure meter, a blood glucose meter, etc.
  • a nurse measures a patient's body temperature, blood pressure, or blood sugar, etc., and then transmits it to the mobile monitoring device 30 worn by the patient.
  • the point measuring device 40 As the name of the point measuring device 40 suggests, its measurement is counted by times, which may be several times a day.
  • the first wireless transmission between the point measuring device 40 and the mobile monitoring device 30 can use the existing technology.
  • the first wireless transmission method is short-distance communication as an example for illustration, for example, it can be a near-field Communication (Near-field communication, referred to as NFC), after the point measurement device 40 measures the physiological parameters of the patient, it is close to the mobile monitoring device 30 worn by the patient, and the physiological parameter data can be transmitted to the mobile monitoring device 30, which is very convenient and will not transmit wrong data.
  • NFC near-field Communication
  • short-distance communication is not limited to near-field communication (NFC), and may also include passive/active RFID (radio frequency identification), optical, infrared (Infrared, referred to as IR), ultra-wideband (Ultra-wideband, UWB for short), magnetic pairing technology or point-to-point wireless technology, including but not limited to WiFi, Bluetooth, Zigbee or other communication protocols.
  • NFC near-field communication
  • RFID passive/active RFID
  • IR infrared
  • UWB ultra-wideband
  • magnetic pairing technology including but not limited to WiFi, Bluetooth, Zigbee or other communication protocols.
  • the first wireless communication unit is, for example, a near-field communication (Near-field communication, referred to as NFC) module, barcode module, two-dimensional code module, passive/radio frequency identification (Radio Frequency Identification, referred to as RFID) module, optical module, infrared (Infrared, referred to as IR) module group, Ultra-wideband (UWB for short) module, magnetic pairing module or point-to-point wireless module.
  • the short-distance communication unit mentioned above may include a reader module and/or a card emulator module.
  • the point measuring device 40 can enable the mobile monitoring device 30 to obtain the above physiological parameter data through the first wireless transmission method.
  • the wireless communication unit of one of the measuring device 40 and the mobile monitoring device 30 may be configured to continuously send out broadcast signals (becoming a slave device) at a certain time interval (such as a preset time interval), which The broadcast signal includes connection information, and the connection information can be used by the external device to pair with the slave device to establish a communication connection.
  • the connection information may include any device in the monitoring device 40 and the mobile monitoring device 30: a device identification code (that is, a device ID) or a serial number (Serial Number, referred to as SN), and may also include: The communication channel identifier, IP address, MAC address, Service Set Identifier (SSID for short), WEP (Wired Equivalent Privacy) protocol, WPA (Wi-Fi Protected Access) protocol, WPA2 protocol, WPA3 protocol, EAP (Extensible Authentication Protocol) protocol and other protocol-related information; it may also include the random pairing code generated by the measuring device 40 or the mobile monitoring device 30 .
  • the processor of the other of the measuring device 40 and the mobile monitoring device 30 receives the broadcast signal sent by the wireless communication unit of the slave device through the wireless communication unit, and then establishes a wireless communication connection with the slave device.
  • the point-measuring device 40 may be a wireless sensor developed by a third-party manufacturer, such as a Bluetooth body temperature sticker, a Bluetooth blood glucose sticker, a blood pressure monitor, and the like.
  • these wireless sensor manufacturers will provide the Bluetooth address of the sensor through barcode, QR code, and text, so that the Bluetooth address can be transmitted to the patient through short-distance communication.
  • mobile monitoring devices When the point measurement device and the mobile monitoring device are paired through near-field communication, the mobile monitoring device, as the Bluetooth master device, needs to know the Bluetooth address of the point measurement device to be paired as the slave device to complete the pairing.
  • the mobile monitoring device touches the point-testing device through NFC, it recognizes that it needs to enter the pairing scene, and then scans out the closest Bluetooth device to be paired through the received Bluetooth broadcast signal strength, that is, the contact point-testing device, and then passes through the Bluetooth broadcast. address information to complete the pairing connection.
  • the host device records the signal strength of the Bluetooth broadcast information received by the measuring device within a period of time, and selects the third-party device (that is, the measuring device) with the best signal strength as the pairing object, and uses the pairing object's The address information actively establishes communication pairing with this pairing object.
  • the monitoring terminal 12 is used to monitor one patient or multiple patients, such as a bedside monitor, a central station (central monitoring workstation) and the like.
  • the mobile monitoring device 30 is used to be worn on the patient's body to monitor the patient and obtain monitoring data.
  • the working modes of the mobile monitoring device include continuous monitoring mode and interval monitoring mode.
  • the mobile monitoring device 30 is worn on the patient and works, it is also bound with the patient's identification information, which is used to uniquely identify the patient and ensure the uniqueness of the ownership of the monitoring data.
  • the identification information may be, for example, a patient ID, a patient bed number, and the like.
  • the monitoring system shown in Figure 1 its monitoring method, as shown in Figure 3, comprises the following steps:
  • Step 1 The mobile monitoring device 30 works in the interval monitoring mode, then performs interval monitoring on the patient (such as intermittently detecting one or more physiological parameters) to obtain monitoring data; receives the monitoring device 40 through the first wireless transmission method
  • the detected physiological parameter data of the patient; the monitoring data obtained from interval monitoring and the physiological parameter data detected by the spot measuring device 40 are transmitted to the monitoring terminal 12 through the second wireless transmission method.
  • the working mode of the mobile monitoring device can be set to the interval monitoring mode by the medical staff (user), or the monitoring terminal 12 can control the mobile monitoring device to work in the interval monitoring mode.
  • the second wireless transmission method can adopt various types of existing wireless communication methods without limitation.
  • the second wireless transmission method can be a transmission method using any one or more of the following wireless technologies: Bluetooth, WiFi, WMTS ( wireless medical telemetry services, wireless medical telemetry services).
  • the second wireless communication unit can adopt various types of existing wireless communication modules without limitation.
  • the second wireless communication unit includes at least one of a Bluetooth module, a WMTS communication module, and a WIFI communication module.
  • the second wireless transmission mode may be different from the first wireless transmission mode.
  • the interval monitoring mode is suitable for patients who get out of bed after surgery and mild patients under observation in the emergency department. The cost is relatively low, and it can be used in large quantities, so that mild patients can also be well monitored, and if they develop into severe diseases, they can be detected in time and will not be missed.
  • the mobile monitoring device 30 may not monitor, and only receive the patient's physiological parameter data detected by the spot measuring device 40 through the first wireless transmission mode;
  • the transmission mode is transmitted to the monitoring terminal 12, which saves the work of nurses entering physiological parameter data and has a high degree of automation.
  • the mobile monitoring device 30 works in the continuous monitoring mode, and continuously monitors the patient (such as continuously detecting one or more physiological parameters) to obtain monitoring data; receives the data detected by the spot measuring device 40 through the first wireless transmission method Physiological parameter data of the patient: the monitoring data obtained through continuous monitoring and the physiological parameter data detected by the spot measuring equipment are transmitted to the monitoring terminal 12 through the second wireless transmission method.
  • the working mode of the mobile monitoring device can be set to the continuous monitoring mode by the medical staff (user), or the monitoring terminal 12 can control the mobile monitoring device to work in the continuous monitoring mode. If the patient is more serious on the basis of mild symptoms, the continuous monitoring mode can be used to avoid missing abnormal physiological parameters.
  • the mobile monitoring device 30 is also paired with the bedside monitor to continuously monitor the patient; transmitted to bedside monitors. If the patient is more serious, the continuous monitoring of these two devices can be used to measure the patient's physiological parameters in an all-round way, so that the medical staff can grasp the patient's status at any time.
  • the monitoring system provided by the present invention may include both a bedside monitor 20 and a central station 10 .
  • the bedside monitor 20 and the central station 10 can communicate by wire or wirelessly.
  • the bedside monitor 20 is used to monitor patients and is paired with a mobile monitoring device 30 .
  • the monitoring system shown in Figure 2 its monitoring method as shown in Figure 4, comprises the following steps:
  • Step 1' the mobile monitoring device 30 works in the interval monitoring mode, performs interval monitoring on the patient, and obtains monitoring data; receives the patient's physiological parameter data detected by the spot measuring device 40 through the first wireless transmission mode; And the physiological parameter data detected by the point measuring device 40 is transmitted to the central station 10 through the second wireless transmission mode.
  • emergency mild patients, etc. only use the mobile monitoring device 30 to monitor them, which does not restrict the freedom of the patients, and is conducive to their activity recovery.
  • Using interval monitoring one saves electricity, and the other interval monitoring can already Meet the monitoring requirements of such patients.
  • the point-measuring device 40 usually does not have the ability of automatic detection, but the measurement of the patient's physiological parameters is completed by the nurse, therefore, when to measure, the frequency of the measurement, etc. are usually uncontrollable. And the physiological parameter data recorded by the spot measuring device 40, only the nurse and the patient themselves know which patient the data belongs to, and the point measuring device 40 itself cannot bind the physiological parameter data with the patient. Therefore, after receiving the physiological parameter data detected by the point-measuring device, the mobile monitoring device 30 can associate the physiological parameter data detected by the point-measuring device with the identification information of the worn patient, that is, bind the patient's identification information with the physiological parameter data.
  • the mobile monitoring device 30 can wirelessly send the physiological parameter data detected by the point measuring device 40 to the central station 10 after receiving the physiological parameter data detected by the point measuring device 40, or wirelessly send the physiological parameter data detected by the point measuring device to the central station 10 at intervals, for example, in the next data In the sending cycle, the patient's identification information, physiological parameter data and self-detected monitoring data are sent to the central station 10 together.
  • the monitoring data obtained by the mobile monitoring device 30 monitoring the patient at intervals includes at least one of physiological parameter values, physiological parameter curves and alarm events.
  • the mobile monitoring device 30 intermittently detects one or more physiological parameters of the patient to obtain one or more physiological parameter data, for example, the mobile monitoring device 30 intermittently detects the patient's blood oxygen parameters, blood pressure parameters, Detect at least one of pulse rate parameters, body temperature parameters, ECG parameters, breathing parameters, sleep parameters, and exercise parameters to obtain blood oxygen parameter data, blood pressure parameter data, pulse rate parameter data, body temperature parameter data, and ECG parameters data, respiratory parameter data, sleep parameter data, and motion parameter data.
  • the above-mentioned physiological parameter data detected by the mobile monitoring device 30 itself includes the value of the physiological parameter and the corresponding measurement time.
  • the mobile monitoring device 30 may only send these data to the central station 10, or further process them, such as combining the physiological parameters at different measurement times Numerical values are processed into physiological parameter curves. Another example is to determine whether the physiological parameter data (such as the value of physiological parameters at each moment) exceeds the corresponding threshold, and if so, generate corresponding alarm information. Alarm information can be text, image or sound etc.
  • the mobile monitoring device 30 can output monitoring data to its own display screen for display, and can also output alarm information to its own speaker for sounding.
  • the central station 10 receives the physiological parameter data detected by the point measuring device 40 transmitted by the mobile monitoring device 30 and displays them by patient; that is, the physiological parameter values detected by the point measuring device of each patient can be seen on the display screen of the central station 10 .
  • the display screen of the central station 10 displays the physiological parameter data detected by the point-measuring device 40 according to the patient, it also displays the logo associated with the point-measuring device 40 or the collection time of the physiological parameter data.
  • the identifier associated with the point-of-view device 40 is used to identify the point-of-view device 40 , which may be the type, name, and device ID of the point-of-view device 40 , or the patient's name, bed number, and the like.
  • the collection time of the physiological parameter data is the time when the spot measuring device 40 detects the patient and obtains the physiological parameter data. Through the identification or collection time of the point measurement device 40 , the user can not only see the physiological parameter data on the central station 10 , but also distinguish the collection source of the physiological parameter data: collected by the point measurement device 40 or the mobile monitoring device 30 .
  • the central station 10 receives the monitoring data transmitted by the mobile monitoring device 30. If the monitoring data is a physiological parameter value, a physiological parameter curve, and an alarm event, etc. that have been processed by the mobile monitoring device 30, it will be directly displayed on the patient's own display screen, or the loudspeaker Just make a sound to present monitoring data. If the monitoring data is not processed by the mobile monitoring device 30 and is raw data, then the central station 10 processes the received monitoring data to obtain at least one of the physiological parameter value, the physiological parameter curve and the alarm event, and then displays it according to the patient through its own display screen , it can also be fed back to the mobile monitoring device 30, and displayed on the display screen of the mobile monitoring device 30 or sounded by the speaker.
  • the monitoring data is a physiological parameter value, a physiological parameter curve, and an alarm event, etc. that have been processed by the mobile monitoring device 30, it will be directly displayed on the patient's own display screen, or the loudspeaker Just make a sound to present monitoring data. If the monitoring data is not processed by the mobile monitoring device 30
  • the central station 10 also judges whether the physiological parameter data measured by the spot measuring device 40 exceeds the corresponding threshold, and if so, outputs corresponding alarm information.
  • the central station 10 also judges whether one or more physiological parameters in the monitoring data of the mobile monitoring device 30 exceed the corresponding threshold, and if so, outputs corresponding alarm information.
  • the central station 10 outputs the alarm information, which can be displayed or sounded by the patient through its own display screen, or the alarm information can be fed back to the patient's mobile monitoring device 30, and the patient's mobile monitoring device 30 can display the alarm information or vocalize.
  • Step 2' the mobile monitoring device 30 works in the continuous monitoring mode, and is paired with the bedside monitor 20 to continuously monitor the patient together to obtain monitoring data; the monitoring data obtained by the continuous monitoring and the physiological parameter data detected by the point measuring device are passed
  • the second wireless transmission is to the central station 10 and/or the paired bedside monitor 20 .
  • the bedside monitor 20 can be added to monitor it continuously.
  • the use of the continuous monitoring mode indicates the need to focus on the patient, so the mobile monitoring device 30 in the continuous monitoring mode can transmit the physiological parameter data detected by the spot measuring device to the central station 10 and/or the paired bed in real time through the second wireless transmission method. side monitor 20.
  • the monitoring data obtained from the continuous monitoring of the patient by the mobile monitoring device 30 may also include at least one of physiological parameter values, physiological parameter curves and alarm events. Specifically, the mobile monitoring device 30 continuously and in real time detects one or more physiological parameters of the patient, and obtains one or more physiological parameter data.
  • the continuous monitoring mode may mean that the mobile monitoring device 30 transmits data (monitoring data collected by the mobile monitoring device 30 and/or physiological parameter data detected by the spot measuring device) to the central station 10 and/or Paired bedside monitor 20 .
  • the interval monitoring mode may mean that the mobile monitoring device 30 only transmits data in a part of the continuous multiple transmission cycles (the monitoring data collected by the mobile monitoring device 30 and/or the physiological data detected by the point measuring device). parameter data) to the central station 10 and/or the paired bedside monitor 20.
  • the continuous monitoring mode is that the mobile monitoring device 30 monitors the patient continuously and uninterruptedly, and transmits data to the central station 10 and/or the paired bedside monitor 20, for example, setting a transmission period (such as 1 second, etc., wherein the transmission The period may be the time period required to transmit data once), then in each transmission period, the mobile monitoring device 30 will transmit data in the continuous monitoring mode.
  • a transmission period such as 1 second, etc., wherein the transmission The period may be the time period required to transmit data once
  • the non-continuous monitoring mode which includes interval monitoring mode, spot monitoring monitoring mode, etc. in this application.
  • Interval monitoring mode can refer to that after the mobile monitoring device 30 collects the patient's monitoring data, it transmits data discontinuously and intermittently, that is, for the aforementioned transmission cycle, not every transmission cycle will transmit data, but Some transmission cycles transmit data, and other transmission cycles do not transmit data.
  • continuous monitoring mode and interval monitoring mode mentioned in this application are only relative concepts.
  • the core is that the frequency of transmitting data to remote devices (such as target monitoring devices) in continuous monitoring mode is higher than that in interval monitoring mode.
  • the frequency used by the data therefore, the former consumes higher power consumption, so it is usually suitable for more critical patients, and when the patient's condition improves, the data transmission frequency can be relatively lower, and the power consumption is relatively lower. Smaller interval monitoring mode.
  • the mobile monitoring device 30 may also have a spot monitoring mode, and compared with the former two, the spot monitoring mode is a data transmission mode with lower power consumption.
  • the mobile monitoring device 30 When the mobile monitoring device 30 is working in the point monitoring monitoring mode, it only collects and sends data (monitoring data collected by the mobile monitoring device 30 and/or physiological parameter data detected by the point measuring device) to the central station 10 and/or at a preset specific moment Or paired bedside monitors 20, usually only send once or several times at a specific moment (for example, a sending fails).
  • the types of physiological parameters detected by the mobile monitoring device 30 in different working modes may be the same, but the frequency of monitoring is different.
  • the frequency of the measurement of physiological parameters by the mobile monitoring device 30 in the continuous monitoring mode is greater than that in the interval monitoring mode; certainly, the mobile monitoring device 30 can also transmit monitoring data to the central station 10 and/or paired bedside monitoring in the continuous monitoring mode.
  • the frequency of the instrument 20 is greater than that of the interval monitoring mode; both modes can make the monitoring frequencies of the two working modes different.
  • the above-mentioned physiological parameter data detected by the mobile monitoring device 30 itself includes the value of the physiological parameter and its corresponding measurement time.
  • the mobile monitoring device 30 can only send these data to the central station 10 and/or the paired bedside monitor 20, and can also further Processing, such as processing the physiological parameter values at different measurement times into physiological parameter curves, and for example, judging whether the physiological parameter data (such as the physiological parameter values at each time point) exceeds the corresponding threshold, and if so, generating corresponding alarm information.
  • Alarm information can be text, image or sound etc.
  • the mobile monitoring device 30 can output monitoring data to its own display screen for display, and can also output alarm information to its own speaker for sounding.
  • the central station 10 receives the physiological parameter data detected by the point-measuring equipment transmitted by the mobile monitoring device 30 and displays them by patient; that is, the physiological parameter values detected by the point-measuring equipment of each patient can be seen on the display screen of the central station 10 .
  • the bedside monitor 20 receives and displays the physiological parameter data detected by the monitoring device transmitted by the mobile monitoring device 30 ; that is, the physiological parameter values detected by the monitoring device of the paired patient can be seen on the display screen of the bedside monitor 20 .
  • the central station 10 and/or the paired bedside monitor 20 receives the monitoring data transmitted by the mobile monitoring device 30. If the monitoring data is a physiological parameter value, a physiological parameter curve, and an alarm event, etc. that have been processed by the mobile monitoring device 30, it is directly passed through Its own display screen can be displayed according to the patient, or the speaker can make sound to present the monitoring data.
  • the monitoring data is a physiological parameter value, a physiological parameter curve, and an alarm event, etc. that have been processed by the mobile monitoring device 30, it is directly passed through Its own display screen can be displayed according to the patient, or the speaker can make sound to present the monitoring data.
  • the central station 10 and/or the paired bedside monitor 20 processes the received monitoring data to obtain at least one of physiological parameter values, physiological parameter curves and alarm events , and then display it according to the patient through its own display screen, and it can also be fed back to the mobile monitoring device 30, which can be displayed through the display screen of the mobile monitoring device 30 or sounded by the speaker.
  • the central station 10 can also send at least one of the physiological parameter value, the physiological parameter curve and the alarm event to the patient's bedside monitor 20 for display or sound through the speaker of the patient's bedside monitor 20 .
  • the bedside monitor 20 can also send at least one of the physiological parameter value, the physiological parameter curve and the alarm event to the central station 10, and display it on the display screen of the central station 10 or make a sound through the speaker.
  • the central station 10 and/or the paired bedside monitor 20 also judge whether the physiological parameter data measured by the spot measuring device 40 exceeds the corresponding threshold, and if so, output corresponding alarm information.
  • the central station 10 and/or the paired bedside monitor 20 also judge whether one or more physiological parameters in the monitoring data of the mobile monitoring device 30 exceed the corresponding threshold, and if so, output corresponding alarm information.
  • the central station 10 outputs alarm information, which can be displayed or sounded by the patient through its own display screen, and the alarm information can also be fed back to the patient's mobile monitoring device 30 and/or bedside monitor 20.
  • the device 30 and/or the bedside monitor 20 displays or sounds the alarm message.
  • the bedside monitor 20 outputs alarm information, which can be displayed or sounded by the patient through its own display screen, or the alarm information can be sent to the patient's mobile monitoring device 30 and/or central station 10, and the patient's mobile monitoring The device 30 and/or the central station 10 display or sound the alarm information.
  • the number of mobile monitoring devices 30 is more than that of bedside monitors 20, and the two do not need to be paired (bound) one by one, and can be paired again when necessary. Some mobile monitoring devices 30 are paired with one bedside monitor 20 and work together, while some mobile monitoring devices 30 are not paired with any bedside monitor 20 when working.
  • the first bedside monitor After the first bedside monitor is paired with the first mobile monitoring device and works together, the first bedside monitor is also used to disconnect from the first mobile monitoring device so as to communicate with a second device different from the first mobile monitoring device. Mobile monitoring devices are paired and work together.
  • the bedside monitor 20 can also work without pairing with the mobile monitoring device 30. For example, just after the operation, the patient cannot get out of bed and does not need to wear the mobile monitoring device 30.
  • the bedside monitor 20 can be used alone to continuously monitor the patient.
  • the side monitor 20 measures at least one of the patient's blood oxygen parameters, blood pressure parameters, pulse rate parameters, body temperature parameters, ECG parameters, respiratory parameters, and sleep parameters to obtain monitoring data.
  • the mobile monitoring device 30 can also work in the continuous monitoring mode but is not paired with the bedside monitor 20. For example, if the patient is not at the bedside and cannot be paired with the bedside monitor 20, or does not need to be paired with the bedside monitor 20, then the mobile monitor The device 30 performs continuous monitoring on the patient alone; the monitoring data obtained from the continuous monitoring and the physiological parameter data detected by the point measurement equipment are transmitted to the central station through the second wireless transmission mode.
  • the physiological parameters measured by the patient monitored by the mobile monitoring device 30 and the physiological parameters measured by the patient monitored by the bedside monitor 20 are at least partially the same. It can also be monitored by a mobile monitoring device 30 to ensure patient safety.
  • the monitoring system of the present invention can form corresponding combinations according to different clinical applications through point measurement equipment, mobile monitoring equipment, bedside monitor and central station.
  • the point-measurement equipment can be used to measure the basic parameters of the patient on time and record the basic vital signs.
  • the data of the point measurement equipment can be quickly transmitted to mobile monitoring equipment, bedside monitors and central stations through wireless means.
  • the data of point measurement devices, mobile monitoring devices and bedside monitors can also be transmitted directly to the central station wirelessly, which is convenient for clinical staff to view in a centralized manner.
  • the resulting monitoring system conforms to the actual working scene, can meet the measurement needs of most patients in the sub-critical care department, and improves work efficiency.
  • the above-mentioned monitoring system can have various application scenarios, and a few examples are given below to illustrate.
  • its monitoring process includes the following steps:
  • Step 4 the bedside monitor 20 continuously monitors the patient.
  • the first preset period may be the postoperative critical period of bed rest, and a continuous monitoring mode may be adopted for patients who have just returned to the general ward and are in the critical period of bed rest. Whether it is in the first preset period can be determined based on the user's operation. For example, the user binds the bedside monitor 20 to the patient so that it can monitor the patient at the bedside. At this time, it can be in the first preset period by default. The user may further input relevant content or instructions to the bedside monitor 20 or the central station 10, so that the bedside monitor 20 and the central station 10 determine that the current patient is in the first preset period.
  • the bedside monitor 20 can be used alone to continuously monitor the patient. , respiratory parameters, and sleep parameters are measured to obtain monitoring data.
  • the mobile monitoring device 30 can also be worn on the patient during the first preset period and paired with the bedside monitor 20 , and the mobile monitoring device 30 and the bedside monitor 20 jointly monitor the patient continuously. After the mobile monitoring device 30 and the bedside monitor 20 are paired, the mobile monitoring device 30 and/or the bedside monitor 20 transmit the pairing information to the central station 10 .
  • the working mode can be automatically set to the continuous monitoring mode; the mobile monitoring device 30 can also be controlled by the paired bedside monitor 20 so that its working mode is set to the continuous monitoring mode; The mobile monitoring device 30 can also be controlled by the central station 10 to set its working mode as the continuous monitoring mode; it can also be set as the continuous monitoring mode by the medical personnel.
  • the mobile monitoring device 30 wirelessly transmits monitoring data obtained from continuous monitoring to the central station 10 and/or the paired bedside monitoring device 20 .
  • Step 5 After entering the second preset period from the first preset period, the mobile monitoring device 30 works in the interval monitoring mode, performs interval monitoring on the patient, and wirelessly transmits the monitoring data obtained from the interval monitoring to the central station 10 .
  • the second predetermined period may be an out-of-bed recovery period.
  • the mobile monitoring device 30 Under the trigger of the first preset condition and/or the instruction for switching the working mode, it is determined that the first preset period enters the second preset period, and the mobile monitoring device 30 switches from the continuous monitoring mode to the interval monitoring mode. model.
  • the mobile monitoring device 30 Under the triggering of the first preset condition and/or the instruction for switching the working mode, the mobile monitoring device 30 can automatically switch from the continuous monitoring mode to the interval monitoring mode, and can also be controlled by the central station 10 or the bedside monitoring device 20.
  • the first preset condition can be set according to needs, for example, the first preset condition can be that the duration of the mobile monitoring device 30 working in the continuous monitoring mode exceeds the preset duration, and the preset duration is 8 hours as an example, that is, the first preset condition After a preset period lasts for more than 8 hours, it automatically enters a second preset period; for another example, the first preset condition can be the arrival of a preset time, taking the preset time as an example at 8 o'clock in the morning the next day, that is, the operation on the same day After that, the second preset period will be automatically entered at eight o'clock in the morning of the next day; also for example, the first preset condition may be that the mobile monitoring device 30 is disconnected from the paired bedside monitor 20, and then the second preset period will be entered by default.
  • the first preset condition further includes that the patient's EWS score is lower than the preset score.
  • the EWS score is lower than the preset score indicating that the patient's condition is stable.
  • the duration of the continuous monitoring mode exceeds the preset duration, the preset time arrives, or the paired bedside monitor 20 is disconnected before switching to interval monitoring. model.
  • the bedside monitor 20 and/or the mobile monitoring device 30 are also used for unpairing the bedside monitor 20 and the mobile monitoring device 30 under the trigger of the first preset condition and/or an instruction for switching the working mode. Further, the mobile monitoring device 30 alone monitors the patient at intervals.
  • the central station 10 may also control the bedside monitor 20 and/or the mobile monitoring device 30 to unpair them under the trigger of the first preset condition and/or an instruction for switching the working mode.
  • Step 6 In the monitoring data obtained in the interval monitoring mode, if the preset physiological parameter exceeds the corresponding threshold, it enters the third preset period. At this time, it indicates that the patient has an abnormality, and the condition may be repeated, and more monitoring is required.
  • the mobile monitoring device 30 Switch from interval monitoring mode to continuous monitoring mode. Whether the physiological parameter exceeds the corresponding threshold can be judged by the mobile monitoring device 30 or the central station 10, which has been described in detail in the above-mentioned embodiments.
  • the monitoring data of the mobile monitoring device 30 includes preset physiological parameters. The preset physiological parameters are more important. If they are abnormal, it reflects that the patient's condition has become more serious. The specific type or types can be set by the medical staff. In this embodiment, the preset physiological parameters are ECG parameters.
  • the mobile monitoring device 30 judges whether the ECG parameter exceeds the corresponding threshold, and if so, determines that the patient has a malignant arrhythmia, generates a preset message and transmits it to the central station, and outputs
  • the mobile monitoring device 30 cannot be paired with the bedside monitor 20 when the patient is outside the ward, and the mobile monitoring device 30 works in the continuous monitoring mode to monitor the patient alone.
  • the mobile monitoring device 30 is paired with the bedside monitor 20 to jointly monitor the patient continuously.
  • the mobile monitoring device 30 switches from the interval monitoring mode to the continuous monitoring mode, which can be automatically switched after the preset physiological parameter exceeds the corresponding threshold; it can also be automatically switched after being paired with the bedside monitor 20; it can also be switched after the preset physiological parameter After exceeding the corresponding threshold, the central station 10 or the paired bedside monitor 20 controls the switching of the mobile monitoring device 30; after the bedside monitor 20 is paired with the mobile monitoring device 30, the central station 10 or the bedside monitor 20 controls The mobile monitoring device 30 is switched; of course, the switching can also be performed by medical personnel.
  • EWS scoring can also be introduced to switch working modes or assist in switching working modes.
  • the central station when the mobile monitoring device 30 is not paired with the bedside monitor 20 and works alone in the interval monitoring mode, the central station is used to: obtain the patient's current EWS score (early warning score), and when the EWS score is higher than the preset score , control the patient's mobile monitoring device to switch from the interval monitoring mode to the continuous monitoring mode, or output information prompting the user to pair the mobile monitoring device 30 with the bedside monitor 20 to work together and adopt the continuous monitoring mode.
  • EWS score electronic warning score
  • the central station 10 is also used to: obtain the patient's current EWS score, and control the mobile monitoring device when the EWS score is lower than the preset score Switch from continuous monitoring mode to interval monitoring mode.
  • the central station 10 is also used to: obtain the patient's current EWS score, and when the EWS score is lower than the preset score, control the mobile monitoring device from The continuous monitoring mode is switched to the interval monitoring mode, and/or a message prompting the user to disconnect the mobile monitoring device from the paired bedside monitor is output.
  • the preset score can be set as required, for example, it can be 3 points. Based on the EWS score, the appropriate patient monitoring equipment and monitoring mode are recommended, which improves the work efficiency of medical staff.
  • the above-mentioned monitoring system can also be used in the monitoring scene of emergency observation.
  • its monitoring process includes the following steps:
  • Step 4' obtaining the first parameter characterizing the current severity of the patient.
  • the first parameter may be determined by a person, or may be determined automatically. Let's introduce them one by one.
  • the central station 10 includes a human-computer interaction device.
  • the human-computer interaction device is used for human-computer interaction, such as outputting visual information and receiving user input. It can use a keyboard, operation buttons, mouse, trackball, touch pad, etc. to receive user input, and can also use a touch screen integrated with a display screen; it can use a display screen to output visual information.
  • the central station 10 receives the first parameter input by the user through its human-computer interaction device, and the first parameter can represent the severity of the patient's current condition.
  • the specific form of the first parameter can be varied, and various types of potential critical illness scoring systems can be used, such as the early warning score (EWS score), the rapid acute physiology score (RAPS score), the rapid emergency medical score (REMS score) ), MEES score (dynamic evaluation of the effect and quality of pre-hospital first aid and emergency resuscitation), and other scores that can reflect the severity of patients can also be used, and all medical staff can unify a standard.
  • EWS score early warning score
  • RAPS score rapid acute physiology score
  • REMS score rapid emergency medical score
  • MEES score dynamic evaluation of the effect and quality of pre-hospital first aid and emergency resuscitation
  • other scores that can reflect the severity of patients can also be used, and all medical staff can unify a standard.
  • the EWS scoring is taken as an example for illustration.
  • the EWS score helps medical staff dynamically monitor changes in conditions and detect potential critical patients early. After the medical personnel receive the patient, they can score it according to the scoring standard of the EWS, and input the EWS scoring into the central station 10 . After receiving the patient, the medical staff can also wear the mobile monitoring device 30 for the patient.
  • the mobile monitoring device 30 monitors the patient according to the monitoring mode (working mode) set by the medical personnel or according to the monitoring mode preset by the system, and obtains monitoring data.
  • the mobile monitoring device 30 transmits monitoring data to the central station 10 .
  • the central station 10 receives the monitoring data transmitted by the mobile monitoring device 30, and obtains the current EWS score of the patient according to the monitoring data.
  • the central station 10 can score the patient according to the preset EWS scoring standard according to multiple physiological parameters of the patient detected by the mobile monitoring device 30 to obtain its current EWS score. There is no need for medical staff to think and judge, which reduces the workload of medical staff.
  • Step 5' recommend monitoring equipment and monitoring mode to the user.
  • the central station 10 outputs the first information prompting the user to use the mobile monitoring device to monitor the patient at intervals. If the first parameter is lower than or equal to the first threshold value, it means that the patient's symptoms are mild, and the mobile monitoring device can be used for interval monitoring, and the patient can move freely.
  • the central station 10 outputs information prompting the user to use the bedside monitor and/or mobile monitoring equipment to continuously monitor the patient. If the first parameter is higher than the first threshold, it may be necessary to continuously monitor and evaluate the patient.
  • the central station 10 may output third information that prompts the user to use the mobile monitoring device 30 to continuously monitor the patient, or may output the third information that prompts the user to use the mobile monitoring device 30.
  • the present embodiment takes the subdivided processing as an example.
  • step 5' may include the following steps:
  • Step 51' the central station 10 judges whether the first parameter is higher than the preset first threshold, if so, enters into step 53', otherwise enters into step 52'.
  • Step 52' when the first parameter is lower than the preset first threshold, the central station 10 outputs the first information prompting the user to use the mobile monitoring device to monitor the patient at intervals.
  • the first information may be at least one of text, graphics and sound.
  • the central station 10 outputs the first information, which can be output to the display screen of its human-computer interaction device for display, or output to the speaker of the central station 10 for sounding; it can also be output to the mobile monitoring device 30 worn by the patient , displayed by the display screen of the mobile monitoring device 30 or sounded by the speaker of the mobile monitoring device 30 ; Make a sound, which is convenient and quick to present to the medical staff.
  • Step 53' the central station 10 judges whether the first parameter is higher than the preset second threshold, if so, enters step 55', otherwise enters step 54'.
  • Step 54' when the first parameter is between the first threshold and the second threshold, the central station 10 outputs third information prompting the user to use the mobile monitoring device 30 to continuously monitor the patient.
  • the first threshold and the second threshold can be set according to user needs, and the second threshold only needs to be higher than the first threshold.
  • the first parameter is between the first threshold and the second threshold, indicating that the patient may not need hospitalization, but may change to require hospitalization later, so the patient is continuously monitored on the move, That is, there is no restriction on the freedom of the patient, and the physiological parameters can be grasped at any time, and the monitoring standard is appropriate.
  • the third information may be at least one of text, graphics and sound.
  • the central station 10 outputs the third information, which can be output to the display screen of its human-computer interaction device for display, or output to the speaker of the central station 10 for sounding; it can also be output to the mobile monitoring device 30 worn by the patient , displayed by the display screen of the mobile monitoring device 30 or sounded by the speaker of the mobile monitoring device 30 ; Make a sound.
  • Step 55' when the first parameter is higher than the second threshold, or when the first parameter is equal to the second threshold, the central station 10 outputs a prompt to the user to use the bedside monitor 20 and the mobile monitoring device 30 to continuously monitor the patient
  • the fourth information if the first parameter is higher than or equal to the second threshold, it means that the risk of the patient's condition changing is increasing, there is a risk of "potential critical illness", and the risk of living in a specialized ward or even ICU is increasing. Continuous monitoring can play a very good monitoring effect.
  • the fourth information may be at least one of text, graphics and sound.
  • the central station 10 outputs the fourth information, which can be output to the display screen of its human-computer interaction device for display, or output to the speaker of the central station 10 for sounding; it can also be output to the mobile monitoring device 30 worn by the patient , displayed by the display screen of the mobile monitoring device 30 or sounded by the speaker of the mobile monitoring device 30 ; Make a sound, which is convenient and quick to present to the medical staff.
  • the second information may also be at least one of text, graphics and sound.
  • the central station 10 outputs the second information, which can be output to the display screen of its human-computer interaction device for display, or output to the speaker of the central station 10 for sounding; it can also be output to the mobile monitoring device 30 worn by the patient , displayed by the display screen of the mobile monitoring device 30 or sounded by the speaker of the mobile monitoring device 30 ; Make a sound.
  • the corresponding first threshold is the first score
  • the second threshold is the second score.
  • the first score and the second score can be set according to the needs of the user. For example, in one embodiment, the first score is 3 points, and the second score is 5 points.
  • a score of 3 on the EWS indicates that medical staff should be reminded to evaluate and adjust the treatment plan.
  • An EWS score of 5 is the best cut-off point for identifying the severity of a patient. A score greater than or equal to 5 requires hospitalization, and a score below 5 usually does not require hospitalization.
  • Step 6' monitor the patient using the recommended monitoring equipment and monitoring mode.
  • the working modes of the mobile monitoring device 30 include a continuous monitoring mode and an interval monitoring mode.
  • the working mode of the mobile monitoring device 30 can be set to the recommended working mode by the medical staff, and the mobile monitoring device 30 can also be controlled by the central station or the bedside monitor to switch the corresponding working mode.
  • Follow-up can continue to monitor the first parameter of the patient, that is, return to step 4' after step 6'. If the first parameter changes, the monitoring device and monitoring mode will be recommended to the user again. No matter whether the patient is getting better or worse, there are suitable The user can adjust his monitoring method accordingly, so that patients can get the most suitable monitoring at different times.
  • the monitoring system includes the above-mentioned central station 10 and the above-mentioned mobile monitoring device 30 .
  • the mobile monitoring device 30 is used to be worn on the patient's body to monitor the patient and obtain monitoring data.
  • the working mode of the mobile monitoring device 30 includes a continuous monitoring mode and an interval monitoring mode; the mobile monitoring device 30 is also used for: when working in the interval monitoring mode, the patient is monitored at intervals, and the patient detected by the point measuring device is received through the first wireless transmission mode.
  • Physiological parameter data; the monitoring data obtained by interval monitoring and the physiological parameter data detected by the point measuring equipment are transmitted to the central station 10 through the second wireless transmission mode; when working in the continuous monitoring mode, the patient is continuously monitored; the continuous monitoring is obtained
  • the monitoring data and the physiological parameter data detected by the point measuring equipment are transmitted to the central station 10 through the second wireless transmission mode.
  • the specific monitoring method is shown in FIG.
  • the monitoring system may also include the above-mentioned spot measuring device 40 .
  • the specific functions of the central station 10, the mobile monitoring device 30 and the point measuring device 40 and the process of monitoring the patient with the cooperation of the three have been described in detail in the above embodiments, and will not be repeated here.
  • the monitoring system includes the above-mentioned bedside monitor 20 and the above-mentioned mobile monitoring device 30 .
  • the mobile monitoring device 30 is used to be worn on the patient's body to monitor the patient and obtain monitoring data.
  • the working modes of the mobile monitoring device 30 include continuous monitoring mode and interval monitoring mode.
  • the mobile monitoring device 30 is also used to: work in the interval monitoring mode, perform interval monitoring on the patient, and receive the patient's physiological parameter data detected by the point measuring device through the first wireless transmission mode;
  • the detected physiological parameter data is transmitted to the bedside monitor 20 through the second wireless transmission mode; when working in the continuous monitoring mode, it is paired with the bedside monitor 20 to jointly monitor the patient continuously;
  • the physiological parameter data detected by the measuring device 40 is transmitted to the bedside monitor 20 through the second wireless transmission mode.
  • the specific monitoring method is shown in FIG. 3 , where the monitoring terminal in FIG. 3 corresponds to the bedside monitor 20 .
  • the monitoring system may also include the above-mentioned spot measuring device 40 .
  • the specific functions of the bedside monitor 20 , the mobile monitoring device 30 and the point measuring device 40 as well as the process of the three cooperating to monitor the patient have been described in detail in the above-mentioned embodiments, and will not be repeated here.
  • the monitoring system includes the above-mentioned mobile monitoring device 30 and the above-mentioned spot measuring device 40 .
  • the mobile monitoring device 30 is used to monitor the patient and obtain the first monitoring data.
  • the mobile monitoring device 30 communicates with the target monitoring device.
  • the monitoring device paired with the mobile monitoring device 30 is the target monitoring device.
  • the mobile monitoring device 30 includes a processor 310 , a first wireless communication unit 320 and a second wireless communication unit 330 .
  • the processor 310 receives the patient's physiological parameter data detected by the measuring device 40 through the first wireless communication unit 320 in the first wireless transmission mode, and uses the second wireless communication unit 330 to transmit the first monitoring data and the received data in the second wireless transmission mode.
  • the physiological parameter data of the patient detected by the point measuring device 40 is transmitted to the target monitoring device, wherein, the wireless communication protocols adopted by the first wireless communication unit 320 and the second wireless communication unit 330 are different, and the first wireless transmission mode is different from the second wireless communication unit 330.
  • the transmission method is different.
  • the target monitoring device may be a central station as described above, a bedside monitor, or another mobile monitoring device, among others.
  • the processor 310 also receives information related to the patient through the first wireless communication unit 320 in a first wireless transmission manner, and combines the information related to the patient with the first monitoring data and the received physiological parameter data of the patient detected by the point measuring device 40
  • the second wireless communication unit 330 transmits to the target monitoring device in a second wireless transmission manner.
  • "transmitting to the target monitoring device together” can mean that these three types of data (information related to the patient, the first monitoring data, and the patient's physiological parameter data detected by the point measuring device 40) are packaged into one data packet and sent to the target monitoring device together.
  • the target monitoring device ; of course, it can also be sent to the target monitoring device separately, and through "associated information (such as the same character string, random code, patient name, bed number, etc.
  • the list information can also be stored in the target monitoring device in advance, and it does not need to be obtained by "sending") to establish a binding relationship with the patient (that is, let the target monitoring device know that the received information belongs to which patient).
  • the working modes of the mobile monitoring device 30 include a continuous monitoring mode and an interval monitoring mode.
  • the processor 310 is also used to control the mobile monitoring device 30 to perform interval monitoring on the patient when the mobile monitoring device 30 works in the interval monitoring mode, and receive the data detected by the point measuring device 40 through the first wireless communication unit 320 in the first wireless transmission mode.
  • Physiological parameter data of the patient; the monitoring data obtained from the interval monitoring and the physiological parameter data detected by the spot measuring device 40 are transmitted to the target monitoring device through the second wireless transmission method.
  • the mobile monitoring device 30 Before the mobile monitoring device 30 transmits data to the target monitoring device, it first establishes a communication connection with the target monitoring device.
  • the processor 310 is further configured to obtain connection information from the target monitoring device in a first wireless transmission manner through the first wireless communication unit 320 .
  • the mobile monitoring device 30 may include one or more (two or more) first wireless communication units 320.
  • the first wireless communication unit 320 uses an NFC module for communication with the point measuring device 40 and the bedside monitor. Make contactless transfers.
  • the mobile monitoring device 30 includes a first wireless communication unit 320, then use the same first wireless communication unit 320 to transmit data in the first wireless transmission mode with the point measuring device 40 and the bedside monitor; if the mobile monitoring device 30 includes multiple When there is only one first wireless communication unit 320, a different first wireless communication unit 320 is used to transmit data in the first wireless transmission mode from the point measuring device 40 and the bedside monitor.
  • connection information may include any device in the target monitoring device and the mobile monitoring device 30: a device identification code (that is, a device ID) or a serial number (Serial Number, referred to as SN), and may also include: (Target monitoring device or mobile monitoring device 30) determined communication channel identification code, IP address, MAC address, service set identification code (Service Set Identifier, SSID for short), WEP (Wired Equivalent Privacy) protocol, WPA (Wi-Fi Protected Access) protocol, WPA2 protocol, WPA3 protocol, EAP (Extensible Authentication Protocol) protocol and other protocol-related information; it may also include the random pairing code generated by the target monitoring device or the mobile monitoring device 30 .
  • a device identification code that is, a device ID
  • SN Serial Number
  • the processor 310 may also send connection information to the target monitoring device through the first wireless communication unit 320 .
  • the processor 310 broadcasts connection information through the first wireless communication unit 320 .
  • the processor 310 Based on the connection information, the processor 310 establishes a communication connection using the second wireless transmission mode with the target monitoring device through the second wireless communication unit 330; and based on the communication connection, performs data interaction with the target monitoring device through the second wireless communication unit, for example
  • the information related to the patient, the first monitoring data and the physiological parameter data of the patient detected by the monitoring device 40 are transmitted to the target monitoring device.
  • the connection information is a random pairing code generated by the target monitoring device, and the random pairing code may be one code or a pair of codes.
  • a code generated by the target monitoring device means that the pairing codes between the target monitoring device and the mobile monitoring device 30 are exactly the same, for example, the code is 1111;
  • a pair of codes generated by the target monitoring device means that the target monitoring device and the mobile monitoring device The pairing codes between the two monitoring devices 30 are different, but there is a corresponding relationship.
  • the random pairing codes generated by the target monitoring device are 1111 and 2222 (for example, a pairing relationship list is established through an array), and 1111 is transmitted to the mobile monitoring device 30 , 2222 is the code paired with 1111, based on this pair of codes, both of them can also establish a communication connection.
  • a point measuring device 40 provided by an embodiment includes a processor 410 and a first wireless communication unit 420 .
  • the processor 410 of the point measuring device 40 sends the patient's physiological parameter data detected by the point measuring device 40 to the mobile monitoring device 30 through its first wireless communication unit 420 in the first wireless transmission mode, so that the mobile monitoring device 30 can pass through the
  • the second wireless communication unit on the mobile monitoring device 30 transmits the received physiological parameter data of the patient detected by the point measuring device 40 to the target monitoring device in a second wireless transmission manner.
  • the working modes of the mobile monitoring device include continuous monitoring mode and interval monitoring mode.
  • the processor 410 of the point measuring device 40 works in the interval monitoring mode of the mobile monitoring device 30, the patient's physiological parameter data detected by it is sent to the mobile monitoring device 30 in the first wireless transmission mode through the first wireless communication unit 420, so as to The mobile monitoring device 30 transmits the received physiological parameter data of the patient detected by the point measuring device 40 to the target monitoring device through the second wireless communication unit 330 provided on the mobile monitoring device 30 in a second wireless transmission manner.
  • the first wireless communication unit 420 of the measuring device 40 is adapted to the first wireless communication unit 320 of the mobile monitoring device 30 , and the two communicate in the first wireless transmission mode, see the above content for details.
  • the first wireless transmission mode is different from the second wireless transmission mode.
  • the first wireless communication unit of the point measuring device 40 and the mobile monitoring device 30 and the second wireless communication unit 330 of the mobile monitoring device 30 adopt the Wireless communication protocols are different.
  • the first wireless communication unit 420 of the measuring device 40 can be an NFC module, and information related to the patient (such as bed number, device number, random code, etc.) can be written in the NFC module, as long as a binding relationship can be established with the patient.
  • the mobile monitoring device 30 can obtain information related to the patient when it is close to the point measuring device 40, similar to the process of swiping a card at a bus card machine or swiping a bank card at a POS machine; at the same time, it can also obtain the physiological parameter data collected by the point measuring device 40 (such as body temperature, blood oxygen and blood pressure, etc.), so that the mobile monitoring device 30 sends the two to the target monitoring device, so that the target monitoring device knows which patient the body temperature value comes from.
  • the operation of the whole process is very simple and efficient, with a high degree of automation.
  • the program can also be stored in a storage medium such as a server, another computer, a magnetic disk, an optical disk, a flash disk, or a mobile hard disk, and saved by downloading or copying.
  • a storage medium such as a server, another computer, a magnetic disk, an optical disk, a flash disk, or a mobile hard disk, and saved by downloading or copying.
  • any tangible, non-transitory computer-readable storage medium may be used, including magnetic storage devices (hard disks, floppy disks, etc.), optical storage devices (CD-ROM, DVD, Blu Ray discs, etc.), flash memory and/or the like .
  • These computer program instructions can be loaded into a general purpose computer, special purpose computer or other programmable data processing apparatus to form a machine, so that these instructions executed on the computer or other programmable data processing apparatus can generate an apparatus for realizing specified functions.
  • These computer program instructions may also be stored in a computer-readable memory which can instruct a computer or other programmable data processing device to operate in a particular manner such that the instructions stored in the computer-readable memory form a Manufactures, including implementing devices for implementing specified functions.
  • Computer program instructions can also be loaded on a computer or other programmable data processing device, thereby performing a series of operational steps on the computer or other programmable device to produce a computer-implemented process, so that the computer or other programmable device Instructions may provide steps for performing specified functions.
  • the term “comprises” and any other variants thereof are non-exclusive, such that a process, method, article, or apparatus that includes a list of elements includes not only those elements, but also elements not expressly listed or not part of the process. , method, system, article or other element of a device.
  • the term “coupled” and any other variations thereof, as used herein refers to a physical connection, an electrical connection, a magnetic connection, an optical connection, a communicative connection, a functional connection, and/or any other connection.

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Abstract

一种监护方法和监护系统,包括床旁监护仪(20)、移动监护设备(30)和中央站(10);移动监护设备(30)接收点测设备(40)检测的病人的生理参数数据,并将其传输给中央站(10)。将点测设备(40)的生理参数数据传输给中央站(10),适用于护士对所有病人进行基本生理参数检测的场景。移动监护设备(30)在与床旁监护仪(20)配对共同对病人进行连续监护,将连续监护得到的监护数据无线传输给中央站(10)和/或配对的床旁监护仪(20),适用于术后危险期的病人、急诊留观中病情较重的病人等。移动监护设备(30)工作在间隔监护模式时,对病人进行间隔监护,将间隔监护得到的监护数据无线传输给中央站(10),适用于术后下床康复的病人、急诊留观中的轻症病人等。可见监护系统能满足不同病人、同一病人不同阶段的监护需求。

Description

一种监护方法和监护系统 技术领域
本发明涉及医疗领域,具体涉及一种监护方法和监护系统。
背景技术
移动监护是近年来临床研究关系的热点之一,其主要解决需要监护的病人由于监护手段的束缚,存在下床不方便后带来的依从性不高和监护率不够,进而无法及时察觉潜在风险。
移动监护采用穿戴式传感器和无线数据传输的方式,对病人实现基本的生理参数监测,在不影响病人活动的情况下,仍然能够对病人保持监护。所提供的生理参数等能够满足特定临床场景下的个性化需求。其中,穿戴式传感器和无线的数据传输方式,是当前各厂家的关注重点,并推出了各种产品形态,以及多样化的无线传输方式,在临床形成了广泛的应用。
但是,由于临床需求的多样化和复杂性,单纯的移动监护设备无法真正的解决实际问题并在临床能够真正的应用起来。由于移动监护设备功能和性能无法完全覆盖日常工作场景的需求,容易带来医护人员工作量增加等问题。
技术问题
本发明主要提供一种监护方法和监护系统,能满足不同的监护需求。
技术解决方案
一种实施例提供一种监护系统,包括:床旁监护仪、移动监护设备和中央站,其中,
所述床旁监护仪用于监护病人,与所述移动监护设备配对;
所述移动监护设备用于佩戴在病人身体上对病人进行监护,得到监护数据;所述移动监护设备的工作模式包括连续监护模式和间隔监护模式;所述移动监护设备还用于:
工作在间隔监护模式,则对所述病人进行间隔监护,通过第一无线传输方式接收点测设备检测的病人的生理参数数据;将间隔监护得到的监护数据以及点测设备检测的生理参数数据通过第二无线传输方式传输给所述中央站;
工作在连续监护模式,与所述床旁监护仪配对,共同对所述病人进行连续监护;将连续监护得到的监护数据以及点测设备检测的生理参数数据通过第二无线传输方式传输给所述中央站和/或所述配对的床旁监护仪。
一种实施例提供一种监护系统,包括:
中央站;
移动监护设备,用于佩戴在病人身体上对病人进行监护,得到监护数据;所述移动监护设备的工作模式包括连续监护模式和间隔监护模式;所述移动监护设备还用于:
工作在间隔监护模式,则对所述病人进行间隔监护,通过第一无线传输方式接收点测设备检测的病人的生理参数数据;将间隔监护得到的监护数据以及点测设备检测的生理参数数据通过第二无线传输方式传输给所述中央站;
工作在连续监护模式,对所述病人进行连续监护;将连续监护得到的监护数据以及点测设备检测的生理参数数据通过第二无线传输方式传输给所述中央站。
一种实施例提供一种中央站,应用于监护系统,所述监护系统还包括:与所述中央站无线通信连接的移动监护设备;
所述移动监护设备用于佩戴在病人身体上对病人进行监护,得到监护数据,通过第一无线传输方式接收点测设备检测的病人的生理参数数据;所述移动监护设备的工作模式包括连续监护模式和间隔监护模式;
所述中央站用于:
通过第二无线传输方式接收所述移动监护设备工作在间隔监护模式时传输的间隔监护得到的监护数据以及点测设备检测的生理参数数据;
通过第二无线传输方式接收所述移动监护设备工作在连续监护模式时传输的连续监护得到的监护数据以及点测设备检测的生理参数数据;
按病人显示所述点测设备检测的生理参数数据;
对接收的所述监护数据进行处理得到生理参数值、生理参数曲线和报警事件中的至少一个,并按病人进行显示。
一种实施例提供一种监护系统,包括:
床旁监护仪;
移动监护设备,用于佩戴在病人身体上对病人进行监护,得到监护数据;所述移动监护设备的工作模式包括连续监护模式和间隔监护模式;所述移动监护设备还用于:
工作在间隔监护模式,则对所述病人进行间隔监护,通过第一无线传输方式接收点测设备检测的病人的生理参数数据;将间隔监护得到的监护数据以及点测设备检测的生理参数数据通过第二无线传输方式传输给所述床旁监护仪;
工作在连续监护模式,与所述床旁监护仪配对,共同对所述病人进行连续监护;将连续监护得到的监护数据以及点测设备检测的生理参数数据通过第二无线传输方式传输给所述床旁监护仪。
一种实施例提供一种监护系统,包括移动监护设备和点测设备,
所述移动监护设备用于佩戴在病人身体上对病人进行监护,得到第一监护数据,所述移动监护设备与目标监护设备通信连接;
所述点测设备用于检测病人的生理参数数据;
所述移动监护设备包括处理器、第一无线通信单元和第二无线通信单元,所述移动监护设备通过所述第一无线通信单元以第一无线传输方式接收所述点测设备检测的病人的生理参数数据,并通过所述第二无线通信单元以第二无线传输方式将所述第一监护数据和接收的所述点测设备检测的病人的生理参数数据传输给所述目标监护设备,其中,所述第一无线通信单元与所述第二无线通信单元所采用的无线通信协议不同,所述第一无线传输方式与所述第二无线传输方式不同。
一种实施例提供一种监护系统,包括移动监护设备和点测设备,
所述移动监护设备用于佩戴在病人身体上对病人进行监护,得到第一监护数据,所述移动监护设备与目标监护设备通信连接;
所述点测设备用于检测病人的生理参数数据;其特征在于:
所述移动监护设备包括处理器、第一无线通信单元和第二无线通信单元,所述移动监护设备通过所述第一无线通信单元以第一无线传输方式接收所述点测设备检测的病人的生理参数数据,并通过所述第二无线通信单元以第二无线传输方式将所述第一监护数据和接收的所述点测设备检测的病人的生理参数数据传输给所述目标监护设备,其中,所述第一无线通信单元与所述第二无线通信单元所采用的无线通信协议不同,所述第一无线传输方式与所述第二无线传输方式不同。
一种实施例提供一种点测设备,应用于监护系统,所述监护系统还包括:与所述点测设备无线通信连接的移动监护设备,以及与所述移动监护设备无线通信连接的目标监护设备,其中,所述移动监护设备用于佩戴在病人身体上对病人进行监护,得到第一监护数据,所述移动监护设备与目标监护设备通信连接并采集的所述监护数据发送给所述目标监护设备,所述点测设备检测病人的生理参数数据,
所述点测设备包括处理器和第一无线通信单元,所述点测设备将其检测的病人的生理参数数据通过所述第一无线通信单元以第一无线传输方式发送给所述移动监护设备,以供所述移动监护设备通过设置在所述移动监护设备上的第二无线通信单元以第二无线传输方式将所接收的所述点测设备检测的病人的生理参数数据传输给所述目标监护设备,其中,所述第一无线通信单元与所述第二无线通信单元所采用的无线通信协议不同,所述第一无线传输方式与所述第二无线传输方式不同。
一种实施例提供一种监护方法,包括:
移动监护设备工作在间隔监护模式,对病人进行间隔监护,通过第一无线传输方式接收点测设备检测的病人的生理参数数据;将间隔监护得到的监护数据以及点测设备检测的生理参数数据通过第二无线传输方式传输给中央站;
移动监护设备工作在连续监护模式,与床旁监护仪配对,共同对所述病人进行连续监护;将连续监护得到的监护数据以及点测设备检测的生理参数数据通过第二无线传输方式传输给所述中央站和/或所述配对的床旁监护仪。
一种实施例提供一种监护方法,包括:
移动监护设备工作在间隔监护模式,对病人进行间隔监护,通过第一无线传输方式接收点测设备检测的病人的生理参数数据;将间隔监护得到的监护数据以及点测设备检测的生理参数数据通过第二无线传输方式传输给中央站;
工作在连续监护模式,对所述病人进行连续监护;将连续监护得到的监护数据以及点测设备检测的生理参数数据通过第二无线传输方式传输给所述中央站。
一种实施例提供一种监护方法,包括:
移动监护设备工作在间隔监护模式,则对病人进行间隔监护,通过第一无线传输方式接收点测设备检测的病人的生理参数数据;将间隔监护得到的监护数据以及点测设备检测的生理参数数据通过第二无线传输方式传输给床旁监护仪;
工作在连续监护模式,与所述床旁监护仪配对,共同对所述病人进行连续监护;将连续监护得到的监护数据以及点测设备检测的生理参数数据通过第二无线传输方式传输给所述床旁监护仪。
一种实施例提供一种监护方法,包括:
移动监护设备工作在间隔监护模式,则对病人进行间隔监护,通过第一无线传输方式接收点测设备检测的病人的生理参数数据;将间隔监护得到的监护数据以及点测设备检测的生理参数数据通过第二无线传输方式传输给床旁监护仪;
工作在连续监护模式,与所述床旁监护仪配对,共同对所述病人进行连续监护;将连续监护得到的监护数据以及点测设备检测的生理参数数据通过第二无线传输方式传输给所述床旁监护仪。
有益效果
依据上述实施例的一种监护方法和监护系统,包括床旁监护仪、移动监护设备和中央站;移动监护设备通过第一无线传输方式接收点测设备检测的病人的生理参数数据;将生理参数数据通过第二无线传输方式传输给中央站。将点测设备的生理参数数据传输给中央站,适用于护士对所有病人进行基本生理参数检测的场景。移动监护设备在与床旁监护仪配对共同对病人进行连续监护,将连续监护得到的监护数据无线传输给中央站和/或配对的床旁监护仪,适用于术后危险期的病人、急诊留观中病情较重的病人等。移动监护设备工作在间隔监护模式时,对病人进行间隔监护,将间隔监护得到的监护数据无线传输给中央站,适用于术后下床康复的病人、急诊留观中的轻症病人等。可见本发明的监护系统能满足不同病人、同一病人不同阶段的监护需求。
附图说明
图1为本发明提供的监护系统一实施例的结构框图;
图2为本发明提供的监护系统一实施例的结构框图;
图3为图1所示监护系统的监护方法一实施例的流程图;
图4为图2所示监护系统的监护方法一实施例的流程图;
图5为本发明提供的监护系统中,术后监护场景一实施例的流程图;
图6为本发明提供的监护系统中,急诊留观场景一实施例的流程图;
图7为本发明提供的监护系统一实施例的结构框图;
图8为本发明提供的监护系统一实施例的结构框图;
图9为本发明提供的监护系统一实施例的结构框图。
本发明的实施方式
下面通过具体实施方式结合附图对本发明作进一步详细说明。其中不同实施方式中类似元件采用了相关联的类似的元件标号。在以下的实施方式中,很多细节描述是为了使得本申请能被更好的理解。然而,本领域技术人员可以毫不费力的认识到,其中部分特征在不同情况下是可以省略的,或者可以由其他元件、材料、方法所替代。在某些情况下,本申请相关的一些操作并没有在说明书中显示或者描述,这是为了避免本申请的核心部分被过多的描述所淹没,而对于本领域技术人员而言,详细描述这些相关操作并不是必要的,他们根据说明书中的描述以及本领域的一般技术知识即可完整了解相关操作。
另外,说明书中所描述的特点、操作或者特征可以以任意适当的方式结合形成各种实施方式。同时,方法描述中的各步骤或者动作也可以按照本领域技术人员所能显而易见的方式进行顺序调换或调整。因此,说明书和附图中的各种顺序只是为了清楚描述某一个实施例,并不意味着是必须的顺序,除非另有说明其中某个顺序是必须遵循的。
本文中为部件所编序号本身,例如“第一”、“第二”等,仅用于区分所描述的对象,不具有任何顺序或技术含义。而本申请所说“连接”、“联接”,如无特别说明,均包括直接和间接连接(联接)。
本发明构建了一套涉及移动监护的监护系统,以移动监护设备为核心,结合多种产品形态和工作方式,能满足亚重症科室多样化的临床需求,提升工作效率,最终构建出能够广泛应用的系统解决方案。
如图1所示,本发明提供的监护系统,包括:点测设备40,监护终端12和多个(两个及以上)移动监护设备30。监护终端12和移动监护设备30之间可无线通信,点测设备40与移动监护设备30之间也可无线通信。
点测设备40用于根据用户的操作,对病人的至少一项生理参数进行检测,得到生理参数数据,将检测数据无线传输给病人佩戴的移动监护设备30。点测设备40能够通过第一无线传输方式使所述移动监护设备30得到上述生理参数数据。点测设备40不是专属于某个病人的设备,而是适用于多个病人的生理参数测量设备,能够针对科室内的所有病人实现基本的生理参数测量。点测设备40检测得到生理参数数据可以包括体温参数数据、血压参数数据、血糖参数数据中的至少一个。即,点测设备40可以是温度计、血压仪、血糖仪等,由护士测量病人的体温、血压或血糖等,进而传输给该病人佩戴的移动监护设备30。点测设备40顾名思义,其测量是以次计的,一天可能就几次。点测设备40与移动监护设备30之间的第一无线传输,可以采用现有技术,本申请的实施例中,以第一无线传输方式为近距离通信为例进行说明,例如可以是近场通信(Near-field communication,简称为NFC),点测设备40测量病人的生理参数后,靠近病人佩戴的移动监护设备30,即可将生理参数数据传输给移动监护设备30,非常方便,而且不会传错数据。在其他实现方式中,近距离通信不限于近场通信(NFC),还可以包括无源/有源RFID(射频识别)、光学、红外(Infrared,简称为IR)、超宽频(Ultra-wideband,简称为UWB)、磁性配对技术或点对点无线技术,包括但不限于WiFi、蓝牙、Zigbee或其他通信协议。在本申请的实施例中,第一无线通信单元例如为近距离通讯(Near-field communication,简称为NFC)模组、条形码模组、二维码模组、无源/有射频识别(Radio Frequency Identification,简称为RFID)模组、光学模组、红外(Infrared,简称为IR)模组、超宽频(Ultra-wideband,简称为UWB)模组、磁性配对模组或点对点无线模组。上述近距离通讯单元可以包括阅读器模组和/或卡模拟器模组。
点测设备40能够通过第一无线传输方式使移动监护设备30得到上述生理参数数据。例如,点测设备40与移动监护设备30中的一者的无线通信单元可以被配置为以一定的时间间隔(如预设的时间间隔)不断地向外发送广播信号(成为从设备),该广播信号中包含连接信息,该连接信息可以用于供外部设备通过其与从设备配对,以建立通信连接。例如,连接信息可以包括点测设备40和移动监护设备30中的任一设备的:设备标识码(即设备ID)或序列号码(Serial Number,简称为SN),也可以包括:由其中任一设备确定的通信信道标识码、IP地址、MAC地址、服务集标识码(Service Set Identifier,简称为SSID)、WEP(Wired Equivalent Privacy)协议、WPA(Wi-Fi Protected Access)协议、WPA2协议、WPA3协议、EAP(Extensible Authentication Protocol)协议等协议相关的信息中的一种;也可以包括点测设备40或移动监护设备30生成的随机配对码。点测设备40与移动监护设备30中的另一者的处理器通过无线通信单元接收到从设备的无线通信单元发送的广播信号,进而与从设备建立无线通信连接。
例如,在其中一个实现方式中,点测设备40例如可以为第三方厂商开发的无线传感器,例如蓝牙体温贴、蓝牙血糖贴、血压计等。这些无线传感器厂商为了方便自己的系统集成或者被其他厂商集成,会通过条形码、二维码、文字的方式提供传感器的蓝牙地址,从而,通过近距离通信的方式,可以将该蓝牙地址传输给病人佩戴的移动监护设备。当点测设备与移动监护设备通过近场通讯进行配对时,移动监护设备作为蓝牙主设备,需要了解待配对的作为从设备的点测设备的蓝牙地址才能完成配对。移动监护设备通过NFC接触点测设备后,识别到需要进入配对场景,再通过接收到的蓝牙广播信号强度扫描出最接近的待配对蓝牙设备,即该接触的点测设备,再通过蓝牙广播中地址信息完成配对连接。
由于第三方无线传感器厂商通常并不提供NFC功能。因此,为了将第三方厂商开发的点测设备集成到该监护系统中,需要将自备的NFC标签贴在该点测设备的表面。在需要配对时,先将粘贴了NFC标签的点测设备与待配对的佩戴于病人身上的移动监护设备接触。此时,移动监护设备感知到有NFC接触,立即进入NFC配对模式。在NFC配对模式下主机设备记录一段时间内接收的点测设备的蓝牙广播信息信号强度,并选择其中信号强度最优的第三方设备(即该点测设备)为配对对象,使用该配对对象的地址信息主动与这个配对对象建立通讯配对。
监护终端12用于对一个病人或多个病人进行监护,如可以是床旁监护仪、中央站(中央监护工作站)等。
移动监护设备30用于佩戴在病人身体上对病人进行监护,得到监护数据。移动监护设备的工作模式包括连续监护模式和间隔监护模式。移动监护设备30佩戴在病人身上工作时,还绑定有病人的标识信息,用于唯一标识病人,确保监护数据归属的唯一性。标识信息例如可以是病人ID、病人床位号等。
图1所示的监护系统,其监护方法,如图3所示,包括如下步骤:
步骤1、移动监护设备30工作在间隔监护模式,则对病人进行间隔监护(如间歇性的对一项或多项生理参数进行检测)得到监护数据;通过第一无线传输方式接收点测设备40检测的病人的生理参数数据;将间隔监护得到的监护数据以及点测设备40检测的生理参数数据通过第二无线传输方式传输给监护终端12。可以由医护人员(用户)将移动监护设备的工作模式设置为间隔监护模式,也可以由监护终端12控制移动监护设备工作在间隔监护模式。第二无线传输方式可采用现有的各类型无线通信方式,不做限定,例如,第二无线传输方式可以为采用以下任一种或多种无线技术进行传输的方式:蓝牙、WiFi、WMTS(wireless medical telemetry services,无线医疗遥测服务)。第二无线通信单元可采用现有的各类型无线通信模组,不做限定,例如,第二无线通信单元包括蓝牙模组、WMTS 通信模组、以及WIFI 通信模组中的至少一种。第二无线传输方式与第一无线传输方式可以不同。间隔监护模式适用于术后下床康复的病人、急诊留观中的轻症病人等,即有利于康复病人的活动,又不会限制急诊留观中轻症病人的活动,由于移动监护设备30成本相对较低,还可以大量使用,使得轻症病人也能得到很好的监护,若发展成重症也能及时发现,不会遗漏。甚至于病人症状再轻微一些,移动监护设备30可不做监护,仅通过第一无线传输方式接收点测设备40检测的病人的生理参数数据;将点测设备40检测的生理参数数据通过第二无线传输方式传输给监护终端12,如此能省去护士录入生理参数数据的工作,自动化程度高。
步骤2、移动监护设备30工作在连续监护模式,对病人进行连续监护(如连续的对一项或多项生理参数进行检测)得到监护数据;通过第一无线传输方式接收点测设备40检测的病人的生理参数数据;将连续监护得到的监护数据以及点测设备检测的生理参数数据通过第二无线传输方式传输给监护终端12。同样的,可以由医护人员(用户)将移动监护设备的工作模式设置为连续监护模式,也可以由监护终端12控制移动监护设备工作在连续监护模式。病人在轻症的基础上严重了一些,则可以采用连续监护模式,避免遗漏异常的生理参数。
监护终端12若是床旁监护仪,移动监护设备30还与床旁监护仪配对,共同对病人进行连续监护;将连续监护得到的监护数据以及点测设备检测的生理参数数据通过第二无线传输方式传输给床旁监护仪。病人较为严重了,可以采用这两个设备共同的连续监护,全方位的测量病人的生理参数,让医护人员随时能掌握病人的状态。
为了更好的对病人进行监护,满足不同的监护需求,如图2所示,本发明提供的监护系统可以既包括床旁监护仪20,又包括中央站10。床旁监护仪20和中央站10之间可以有线通信,也可以无线通信。
床旁监护仪20用于监护病人,与移动监护设备30配对。
图2所示的监护系统,其监护方法如图4所示,包括如下步骤:
步骤1’、移动监护设备30工作在间隔监护模式,对病人进行间隔监护,得到监护数据;通过第一无线传输方式接收点测设备40检测的病人的生理参数数据;将间隔监护得到的监护数据以及点测设备40检测的生理参数数据通过第二无线传输方式传输给中央站10。对于术后康复期的病人、急诊轻症病人等,仅用移动监护设备30对其监护,不限制病人自由,有利于其活动康复,采用间隔监护,一则省电,二则间隔监护已能满足这类病人的监护要求。
点测设备40通常不具备自动检测的能力,而是由护士来完成病人生理参数的测量,因此,何时测量、测量的频率等通常不可控。而且点测设备40记录的生理参数数据,只有护士和病人本人才知道该数据是哪位病人的,点测设备40本身无法将生理参数数据与病人绑定。因此,移动监护设备30可在接收到点测设备检测的生理参数数据后,将点测设备检测的生理参数数据与所佩戴的病人的标识信息关联,即将该病人的标识信息与生理参数数据绑定,从而确定生理参数数据的病人归属,进而将标识信息和生理参数数据通过第二无线传输方式传输给中央站10,使得中央站10知道点测设备40检测的生理参数数据是哪位病人的。移动监护设备30可以在接收到点测设备40检测的生理参数数据后就无线发送给中央站10,也可以间隔的将点测设备检测的生理参数数据无线发送给中央站10,例如在下一个数据发送周期,将病人的标识信息、生理参数数据和自身检测的监护数据一同发送给中央站10。
移动监护设备30对病人进行间隔监护得到的监护数据,包括生理参数值、生理参数曲线和报警事件中的至少一个。具体的,移动监护设备30间歇性的对病人的一项或多项生理参数进行检测,得到一个或多个生理参数数据,例如移动监护设备30间歇性的对病人的血氧参数、血压参数、脉率参数、体温参数、心电参数、呼吸参数、睡眠参数、运动参数中的至少一项进行检测,从而得到血氧参数数据、血压参数数据、脉率参数数据、体温参数数据、心电参数数据、呼吸参数数据、睡眠参数数据、运动参数数据中至少一个。移动监护设备30自身检测的上述生理参数数据包括生理参数数值及其对应的测量时刻,移动监护设备30可以仅将这些数据发送给中央站10,也可以进一步处理,如将不同测量时刻的生理参数数值处理成生理参数曲线,又如,判断生理参数数据(如各个时刻的生理参数数值)是否超过对应的阈值,若是则生成对应的报警信息。报警信息可以是文字、图像或声音等。移动监护设备30可以将监护数据输出给自身的显示屏显示,还可以将报警信息输出给自身的扬声器进行发声。
中央站10接收移动监护设备30传输的点测设备40检测的生理参数数据并按病人进行显示;即,中央站10的显示屏上能看到各个病人的点测设备检测的生理参数数值。中央站10的显示屏按病人显示点测设备40检测的生理参数数据时,还显示与点测设备40相关联的标识或者还显示生理参数数据的采集时间。与点测设备40相关联的标识用于标识点测设备40,可以是点测设备40的类型、名称、设备ID,或者是病人的姓名、床号等。生理参数数据的采集时间即点测设备40检测病人得到生理参数数据的时间。通过点测设备40的标识或者采集时间,用户不仅能在中央站10上看到生理参数数据,还能分辨出该生理参数数据的采集来源:由点测设备40或者移动监护设备30采集。
中央站10接收移动监护设备30传输的监护数据,若监护数据是移动监护设备30已经处理好的生理参数值、生理参数曲线和报警事件等,则直接通过自身显示屏按病人进行显示、或扬声器进行发声即可,以呈现监护数据。若监护数据移动监护设备30没有处理,是原始数据,则中央站10对接收的监护数据进行处理得到生理参数值、生理参数曲线和报警事件中的至少一个,之后通过自身显示屏按病人进行显示,还可以将其反馈给移动监护设备30,通过移动监护设备30的显示屏进行显示或扬声器进行发声。
中央站10还判断点测设备40测量的生理参数数据是否超过对应的阈值,若是则输出对应的报警信息。中央站10还判断移动监护设备30的监护数据中的一个或多个生理参数是否超过对应的阈值,若是则输出对应的报警信息。中央站10输出报警信息,可以通过自身显示屏按病人进行报警信息的显示或扬声器发声,还可以将报警信息反馈给病人的移动监护设备30,由病人的移动监护设备30对报警信息进行显示或发声。
步骤2’、移动监护设备30工作在连续监护模式,与床旁监护仪20配对,共同对病人进行连续监护,得到监护数据;将连续监护得到的监护数据以及点测设备检测的生理参数数据通过第二无线传输方式传输给中央站10和/或配对的床旁监护仪20。例如术后康复期的病人出现突发状况,则可增加床旁监护仪20对其进行连续监护。
采用连续监护模式说明需要对病人重点关注,故移动监护设备30在连续监护模式,可实时的将点测设备检测的生理参数数据通过第二无线传输方式传输给中央站10和/或配对的床旁监护仪20。
移动监护设备30对病人进行连续监护得到的监护数据,同样可包括生理参数值、生理参数曲线和报警事件中的至少一个。具体的,移动监护设备30连续的、实时的对病人的一项或多项生理参数进行检测,得到一个或多个生理参数数据。
连续监护模式,例如可以指移动监护设备30在连续的多个传输周期内均传输数据(移动监护设备30采集的监护数据和/或点测设备检测的生理参数数据)给中央站10和/或配对的床旁监护仪20。相对的,间隔监护模式,例如可以指移动监护设备30仅在所述连续的多个传输周期中的部分传输周期内传输数据(移动监护设备30采集的监护数据和/或点测设备检测的生理参数数据)给中央站10和/或配对的床旁监护仪20。连续监护模式顾名思义为移动监护设备30连续地、不间断地监护病人,并传输数据给中央站10和/或配对的床旁监护仪20,例如设定一个传输周期(例如1秒等,其中传输周期可以是传输一次数据需要的时间周期),则在每个传输周期内,连续监护模式下移动监护设备30均会传输数据。
与连续监护模式相对的为非连续监护模式,在本申请中包括间隔监护模式、点测监护模式等。
间隔监护模式,例如可以指移动监护设备30采集到病人的监护数据后,非连续地、间断地传输数据,也即对于前述设定的传输周期,并不是每个传输周期都会传输数据,而是部分传输周期传输数据,其他传输周期不传输数据。
应注意的是,本申请中所称的连续监护模式和间隔监护模式只是相对的概念,核心在于,采用连续监护模式向远端设备(例如目标监护设备)传输数据的频率大于采用间隔监护模式传输数据采用的频率,因而,前者所消耗的功耗更高,所以通常适用于并且更为危重的患者,而当病人的病情有所好转后,可采用数据发送频率相对更低、功耗也相对较小的间隔监护模式。
移动监护设备30还可以具有点测监护模式,与前两者相比,点测监护模式则是一种更为低功耗的数据传输模式。移动监护设备30工作在点测监护模式时,仅在预设的特定时刻采集并发送数据(移动监护设备30采集的监护数据和/或点测设备检测的生理参数数据)给中央站10和/或配对的床旁监护仪20,通常在特定时刻仅发送一次或数次(例如一次发送失败)。
移动监护设备30在不同的工作模式,检测的生理参数类型可以是相同的,只是监护频率不同。例如,移动监护设备30在连续监护模式对生理参数进行的测量的频率大于间隔监护模式;当然,移动监护设备30也可以在连续监护模式传输监护数据给中央站10和/或配对的床旁监护仪20的频率大于间隔监护模式;这两种方式都可以让两个工作模式的监护频率不同。移动监护设备30自身检测的上述生理参数数据包括生理参数数值及其对应的测量时刻,移动监护设备30可以仅将这些数据发送给中央站10和/或配对的床旁监护仪20,也可以进一步处理,如将不同测量时刻的生理参数数值处理成生理参数曲线,又如,判断生理参数数据(如各个时刻的生理参数数值)是否超过对应的阈值,若是则生成对应的报警信息。报警信息可以是文字、图像或声音等。移动监护设备30可以将监护数据输出给自身的显示屏显示,还可以将报警信息输出给自身的扬声器进行发声。
中央站10接收移动监护设备30传输的点测设备检测的生理参数数据并按病人进行显示;即,中央站10的显示屏上能看到各个病人的点测设备检测的生理参数数值。床旁监护仪20接收移动监护设备30传输的点测设备检测的生理参数数据并进行显示;即,床旁监护仪20的显示屏上能看到配对病人的点测设备检测的生理参数数值。
中央站10和/或配对的床旁监护仪20接收移动监护设备30传输的监护数据,若监护数据是移动监护设备30已经处理好的生理参数值、生理参数曲线和报警事件等,则直接通过自身显示屏按病人进行显示、或扬声器进行发声即可,以呈现监护数据。若监护数据移动监护设备30没有处理,是原始数据,则中央站10和/或配对的床旁监护仪20对接收的监护数据进行处理得到生理参数值、生理参数曲线和报警事件中的至少一个,之后通过自身显示屏按病人进行显示,还可以将其反馈给移动监护设备30,通过移动监护设备30的显示屏进行显示或扬声器进行发声。中央站10还可以将生理参数值、生理参数曲线和报警事件中的至少一个发送给病人的床旁监护仪20,通过病人的床旁监护仪20的显示屏进行显示或扬声器进行发声。床旁监护仪20还可以将生理参数值、生理参数曲线和报警事件中的至少一个发送给中央站10,通过中央站10的显示屏进行显示或扬声器进行发声。
中央站10和/或配对的床旁监护仪20还判断点测设备40测量的生理参数数据是否超过对应的阈值,若是则输出对应的报警信息。中央站10和/或配对的床旁监护仪20还判断移动监护设备30的监护数据中的一个或多个生理参数是否超过对应的阈值,若是则输出对应的报警信息。中央站10输出报警信息,可以通过自身显示屏按病人进行报警信息的显示或扬声器发声,还可以将报警信息反馈给病人的移动监护设备30和/或床旁监护仪20,由病人的移动监护设备30和/或床旁监护仪20对报警信息进行显示或发声。床旁监护仪20输出报警信息,可以通过自身显示屏按病人进行报警信息的显示或扬声器发声,还可以将报警信息发送给病人的移动监护设备30和/或中央站10,由病人的移动监护设备30和/或中央站10对报警信息进行显示或发声。
在监护系统中,移动监护设备30的数量多于床旁监护仪20的数量,两者无需一一配对(绑定),可在有需要的时候再配对。一部分移动监护设备30在工作时分别与一个床旁监护仪20配对且共同工作,一部分移动监护设备30则在工作时未与任一床旁监护仪20配对。
当第一床旁监护仪与第一移动监护设备配对且共同工作后,第一床旁监护仪还用于与第一移动监护设备断开连接,以便与不同于第一移动监护设备的第二移动监护设备配对且共同工作。
当然,床旁监护仪20也可以不与移动监护设备30配对工作,例如刚刚手术后,病人无法下床,无需佩戴移动监护设备30,可单独采用床旁监护仪20对病人持续监护,由床旁监护仪20对病人的血氧参数、血压参数、脉率参数、体温参数、心电参数、呼吸参数、睡眠参数中的至少一个进行测量,得到监护数据。
移动监护设备30也可以工作在连续监护模式但未与床旁监护仪20配对,比如病人没有在病床旁,无法与床旁监护仪20配对,或者无需与床旁监护仪20配对,则移动监护设备30单独对病人进行连续监护;将连续监护得到的监护数据以及点测设备检测的生理参数数据通过第二无线传输方式传输给中央站,监护数据的传输和处理具体过程同上,不做赘述。
移动监护设备30监护病人测量的生理参数与床旁监护仪20监护病人测量的生理参数中,两者至少部分生理参数是相同的,如此,病人在解除床旁监护仪20后,其相关生理参数还能由移动监护设备30监护,以确保病人安全。
综上所述,本发明的监护系统,通过点测设备、移动监护设备、床旁监护仪和中央站,可以根据不同的临床应用形成相应的组合。其监护病人的层级甚至可以有五种:仅用点测设备、点测设备+移动监护设备间隔监护、点测设备+移动监护设备连续监护、床旁监护仪监护、点测设备+移动监护设备连续监护+床旁监护仪监护。能灵活的适应不同严重程度的病人的监护需求。例如当病人处于危险期时,移动监护设备可以与床旁监护仪迅速配对连接,共同形成连续监护模式,针对病人实现高级别的连续监护;当病人逐渐恢复健康,可移除床旁监护仪,形成移动监护设备单独的、间隔的移动监护模式。对于处于康复尾期的病人,可通过点测设备针对病人实现基本参数的按时测量,记录基本生命体征。点测设备的数据可通过无线方式,快速传输至移动监护设备、床旁监护仪和中央站。点测设备、移动监护设备和床旁监护仪的数据,也可以通过无线的方式,直接传输至中央站,方便临床工作人员进行集中查看。由此组成的监护系统,符合实际工作场景,可以满足亚重症科室大部分的病人测量需求,提升了工作效率。
上述的监护系统,可以有多种应用场景,下面举几个例子进行说明。
例如,可以用在术后病人的监护场景中。如图5所示,其监护过程包括如下步骤:
步骤4、在第一预设时期,床旁监护仪20对病人进行连续监护。第一预设时期可以是术后的卧床危险期,对于刚刚回到普通病房的病人处于卧床危险期,可对其采取连续监护模式。是否处于第一预设时期可以基于用户的操作来确定,比如用户将床旁监护仪20与病人绑定,使其对病人进行床旁监护,此时可以默认处于第一预设时期,当然也可以进一步由用户输入相关内容或指令给床旁监护仪20或中央站10,让床旁监护仪20和中央站10确定当前病人处于第一预设时期。通常该时期病人卧床,病情不稳定,可单独采用床旁监护仪20对病人进行连续监护,由床旁监护仪20对病人的血氧参数、血压参数、脉率参数、体温参数、心电参数、呼吸参数、睡眠参数中的至少一个进行测量,得到监护数据。当然,第一预设时期也可以将移动监护设备30佩戴在病人身上,并与床旁监护仪20配对,移动监护设备30和床旁监护仪20共同对病人进行连续监护。移动监护设备30和床旁监护仪20配对后,移动监护设备30和/或床旁监护仪20将配对信息传输给中央站10。移动监护设备30和床旁监护仪20配对后,可自动将工作模式设置为连续监护模式;也可以由配对的床旁监护仪20控制移动监护设备30,使其工作模式设置为连续监护模式;也可以由中央站10控制移动监护设备30,使其工作模式设置为连续监护模式;还可以由医护人员将其工作模式设置为连续监护模式。移动监护设备30将连续监护得到的监护数据无线传输给中央站10和/或配对的床旁监护仪20。
步骤5、从第一预设时期进入到第二预设时期后,移动监护设备30工作在间隔监护模式,对病人进行间隔监护,将间隔监护得到的监护数据无线传输给中央站10。第二预设时期可以是下床康复期。具体的,在第一预设条件和/或用于切换工作模式的指令的触发下,确定从第一预设时期进入到第二预设时期,移动监护设备30从连续监护模式切换到间隔监护模式。在第一预设条件和/或用于切换工作模式的指令的触发下,移动监护设备30可以自动从连续监护模式切换到间隔监护模式,也可以由中央站10或床旁监护仪20控制移动监护设备30从连续监护模式切换到间隔监护模式。其中,第一预设条件可以根据需要设置,例如,第一预设条件可以是移动监护设备30工作在连续监护模式的持续时间超过预设时长,以预设时长是8小时为例,即第一预设时期持续时间超过8小时后自动进入第二预设时期;又例如,第一预设条件可以是预设时刻到来,以预设时刻是第二天早上8点为例,即当天手术后,第二天早上八点自动进入第二预设时期;还例如,第一预设条件可以是移动监护设备30与配对的床旁监护仪20断开连接,则默认进入第二预设时期。本实施例中,为提高安全性,第一预设条件还包括病人的EWS评分低于预设分数。EWS评分低于预设分数说明病人情况稳定,在此基础上,连续监护模式的持续时间超过预设时长、预设时刻到来或与配对的床旁监护仪20断开连接,才切换到间隔监护模式。
床旁监护仪20和/或移动监护设备30还用于:在第一预设条件和/或用于切换工作模式的指令的触发下,解除床旁监护仪20与移动监护设备30的配对。进而由移动监护设备30单独对病人进行间隔监护。当然,也可以由中央站10在第一预设条件和/或用于切换工作模式的指令的触发下,控制床旁监护仪20和/或移动监护设备30使两者解除配对。
步骤6、在间隔监护模式得到的监护数据中,预设生理参数超过对应的阈值则进入第三预设时期,此时说明病人有异常,可能病情有反复,需要加大监护,移动监护设备30从间隔监护模式切换到连续监护模式。生理参数是否超过对应的阈值,可以由移动监护设备30或中央站10进行判断,在上述实施例中已详细阐述。移动监护设备30的监护数据中,包括预设生理参数。预设生理参数比较重要,其异常的话反映病人病情变严重了,具体是哪种或哪几种,可由医护人员设置。本实施例中,预设生理参数为心电参数。移动监护设备30判断心电参数是否超过对应的阈值,若是则确定病人出现恶性心律失常,生成预设消息传输给中央站,并输出对应的报警信息。
第三预设时期有两种情况,一种是病人在病房外,移动监护设备30无法与床旁监护仪20配对,则移动监护设备30工作在连续监护模式,单独对病人进行监护。另一种是病人就在病房内,或者待其回到病房后,移动监护设备30与床旁监护仪20配对,共同对病人进行连续监护。移动监护设备30从间隔监护模式切换到连续监护模式,可以在预设生理参数超过对应的阈值后自动切换;也可以在与床旁监护仪20配对后,自动切换;也可以在预设生理参数超过对应的阈值后,中央站10或配对的床旁监护仪20控制移动监护设备30切换;还可以在床旁监护仪20与移动监护设备30配对后,中央站10或床旁监护仪20控制移动监护设备30切换;当然,也可以由医护人员进行切换。
还可以引入EWS评分来进行工作模式的切换或者辅助进行工作模式的切换。
具体的,在移动监护设备30未与床旁监护仪20配对且单独工作在间隔监护模式时,中央站用于:获取病人当前的EWS评分(早期预警评分),在EWS评分高于预设分数时,控制病人的移动监护设备从间隔监护模式切换到连续监护模式,或输出提示用户将移动监护设备30与床旁监护仪20进行配对而共同工作并采用连续监护模式的信息。
在移动监护设备30未与床旁监护仪20配对且单独工作在连续监护模式时,中央站10还用于:获取病人当前的EWS评分,在EWS评分低于预设分数时,控制移动监护设备从连续监护模式切换到间隔监护模式。
在移动监护设备30与床旁监护仪20配对且共同工作在连续监护模式时,中央站10还用于:获取病人当前的EWS评分,在EWS评分低于预设分数时,控制移动监护设备从连续监护模式切换到间隔监护模式,和/或输出提示用户断开移动监护设备与配对的床旁监护仪的连接的信息。
预设分数可根据需要进行设置,例如可以是3分。基于EWS评分推荐合适病人的监护设备和监护模式,提高了医护人员的工作效率。
可见,本场景中,在术后不同阶段都有适合病人的监护方式和设备,不仅能及时发现病人潜在的风险,而且不影响病人下床活动。
上述的监护系统,还可以用在急诊留观的监护场景中。如图6所示,其监护过程包括如下步骤:
步骤4’、获取表征病人当前严重程度的第一参数。第一参数具体可以由人来确定,也可以自动确定。下面一一介绍。
中央站10包括人机交互装置。人机交互装置用于进行人机交互,例如输出可视化信息以及接收用户的输入。其接收用户的输入可采用键盘、操作按钮、鼠标、轨迹球、触摸板等,也可以采用与显示屏集成在一起的触控屏;其输出可视化信息可以采用显示屏。中央站10通过其人机交互装置接收用户输入的第一参数,该第一参数能表征病人当前病情的严重程度。第一参数的具体体现形式可以是多种多样的,可以采用各类型的潜在危重病评分系统,如早期预警评分(EWS评分)、快速急性生理评分(RAPS评分)、快速急诊内科评分(REMS评分)、MEES评分(动态评价院前急救和急诊复苏的效果和质量),也可以采用其他能反映病人严重程度的评分,各个医护人员统一一个标准即可。
本实施例以EWS评分为例进行说明。EWS评分有助于医护人员动态监测病情变化,早期发现潜在危重病人。医护人员接到病人后,可根据EWS的评分标准对其评分,将EWS评分输入到中央站10。医护人员接到病人后,也可以为病人佩戴移动监护设备30。移动监护设备30根据医护人员设置的监护模式(工作模式)或者根据系统预设的监护模式对病人进行监护,得到监护数据。移动监护设备30将监护数据传输给中央站10。中央站10接收移动监护设备30传输的监护数据,根据监护数据得到病人当前的EWS评分。即中央站10可根据移动监护设备30检测的病人的多项生理参数,按预设的EWS评分标准对病人进行评分,得到其当前的EWS评分。无需医护人员认为判断,减少了医护人员的工作量。
步骤5’、根据第一参数,推荐监护设备和监护模式给用户。例如,中央站10在第一参数低于预设的第一阈值时,输出提示用户采用移动监护设备对病人进行间隔监护的第一信息。第一参数低于或等于第一阈值说明病人症状轻微,采用移动监护设备进行间隔监护即可,病人可以自由行动。中央站10在第一参数高于预设的第一阈值时,输出提示用户采用床旁监护仪和/或移动监护设备对病人进行连续监护的信息。第一参数高于第一阈值,可能就需要对病人进行连续监护和评估了,具体中央站10可以输出提示用户采用移动监护设备30对病人进行连续监护的第三信息,也可以输出提示用户采用床旁监护仪20对病人进行连续监护的第二信息;还可以在此基础上进一步细分处理,本实施例以细分处理为例进行说明,一实施例中步骤5’可以包括如下步骤:
步骤51’、中央站10判断第一参数是否高于预设的第一阈值,若是则进入步骤53’,若否则进入步骤52’。
步骤52’、中央站10在第一参数低于预设的第一阈值时,输出提示用户采用移动监护设备对病人进行间隔监护的第一信息。其中,第一信息可以是文字、图形和声音中的至少一种。中央站10输出第一信息,可以是输出第一信息给其人机交互装置的显示屏进行显示,也可以是输出给中央站10的扬声器进行发声;还可以输出给病人佩戴的移动监护设备30,由移动监护设备30的显示屏进行显示或移动监护设备30的扬声器进行发声;还可以输出给床旁监护仪20,由床旁监护仪20的显示屏进行显示或床旁监护仪20的扬声器进行发声,便于快捷的呈现给医护人员。
步骤53’、中央站10判断第一参数是否高于预设的第二阈值,若是则进入步骤55’,若否则进入步骤54’。
步骤54’、中央站10在第一参数介于第一阈值和第二阈值之间时,输出提示用户采用移动监护设备30对病人进行连续监护的第三信息。第一阈值和第二阈值可根据用户需要进行设置,第二阈值高于第一阈值即可。例如,一实施例中,第一参数介于第一阈值和第二阈值之间,说明病人可能不需要住院治疗,但后续可能会变化为需要住院治疗,因此对病人进行移动式的连续监护,即没有限制病人自由,又能随时掌握其生理参数,监护标准恰当合适。同样的,第三信息可以是文字、图形和声音中的至少一种。中央站10输出第三信息,可以是输出第三信息给其人机交互装置的显示屏进行显示,也可以是输出给中央站10的扬声器进行发声;还可以输出给病人佩戴的移动监护设备30,由移动监护设备30的显示屏进行显示或移动监护设备30的扬声器进行发声;还可以输出给床旁监护仪20,由床旁监护仪20的显示屏进行显示或床旁监护仪20的扬声器进行发声。
步骤55’、中央站10在第一参数高于第二阈值时,也可以在第一参数等于第二阈值时,输出提示用户采用床旁监护仪20和移动监护设备30共同对病人进行连续监护的第四信息。一实施例中,第一参数高于或等于第二阈值,说明病人病情变化危险增大,有“潜在危重病”的危险,住专科病房甚至ICU的危险增大,故采用两种设备对其进行连续监护,能起到很好的监护效果。同样的,第四信息可以是文字、图形和声音中的至少一种。中央站10输出第四信息,可以是输出第四信息给其人机交互装置的显示屏进行显示,也可以是输出给中央站10的扬声器进行发声;还可以输出给病人佩戴的移动监护设备30,由移动监护设备30的显示屏进行显示或移动监护设备30的扬声器进行发声;还可以输出给床旁监护仪20,由床旁监护仪20的显示屏进行显示或床旁监护仪20的扬声器进行发声,便于快捷的呈现给医护人员。
除了第一信息、第三信息和第四信息外,第二信息也可以是文字、图形和声音中的至少一种。中央站10输出第二信息,可以是输出第二信息给其人机交互装置的显示屏进行显示,也可以是输出给中央站10的扬声器进行发声;还可以输出给病人佩戴的移动监护设备30,由移动监护设备30的显示屏进行显示或移动监护设备30的扬声器进行发声;还可以输出给床旁监护仪20,由床旁监护仪20的显示屏进行显示或床旁监护仪20的扬声器进行发声。
由于本实施例中第一参数采用EWS评分,故对应的第一阈值为第一分数,第二阈值为第二分数。第一分数和第二分数可以根据用户的需要进行设置,例如一实施例中,第一分数为3分,第二分数为5分。EWS 3分预示着提醒医护人员进行评估,调整处理方案。EWS 5分是鉴别患者严重程度的最佳临界点,大于等于5分需要住院,5分以下则通常不需要住院治疗。
步骤6’、采用推荐的监护设备和监护模式监护病人。具体的,移动监护设备30的工作模式包括连续监护模式和间隔监护模式。可由医护人员将移动监护设备30的工作模式设置为推荐的工作模式,也可以由中央站或床旁监护仪控制移动监护设备30切换对应的工作模式,具体过程在上述实施例中已详细阐述,在此不做赘述。
后续可持续对病人的第一参数进行监控,即步骤6’之后返回步骤4’,若第一参数有变化,则再次推荐监护设备和监护模式给用户,不论病人是好转还是恶化,都有适合他的监护方式,用户据此再进行调整,病人在不同时段都能得到最适合的监护。
有的实施例中,如图7所示,监护系统包括如上所述的中央站10和如上所述的移动监护设备30。
移动监护设备30用于佩戴在病人身体上对病人进行监护,得到监护数据。移动监护设备30的工作模式包括连续监护模式和间隔监护模式;移动监护设备30还用于:工作在间隔监护模式,则对病人进行间隔监护,通过第一无线传输方式接收点测设备检测的病人的生理参数数据;将间隔监护得到的监护数据以及点测设备检测的生理参数数据通过第二无线传输方式传输给中央站10;工作在连续监护模式,则对病人进行连续监护;将连续监护得到的监护数据以及点测设备检测的生理参数数据通过第二无线传输方式传输给中央站10。具体监护方法如图3所示,其中图3的监护终端对应是中央站10。有的实施例中,监护系统还可以包括如上所述的点测设备40。中央站10、移动监护设备30和点测设备40的具体功能以及三者相互配合对病人进行监护的过程在上述实施例中已详细阐述,在此不做赘述。
有的实施例中,如图8所示,监护系统包括如上所述的床旁监护仪20和如上所述的移动监护设备30。
移动监护设备30用于佩戴在病人身体上对病人进行监护,得到监护数据。移动监护设备30的工作模式包括连续监护模式和间隔监护模式。移动监护设备30还用于:工作在间隔监护模式,则对病人进行间隔监护,通过第一无线传输方式接收点测设备检测的病人的生理参数数据;将间隔监护得到的监护数据以及点测设备检测的生理参数数据通过第二无线传输方式传输给床旁监护仪20;工作在连续监护模式,则与床旁监护仪20配对,共同对病人进行连续监护;将连续监护得到的监护数据以及点测设备40检测的生理参数数据通过第二无线传输方式传输给床旁监护仪20。具体监护方法如图3所示,其中图3的监护终端对应是床旁监护仪20。有的实施例中,监护系统还可以包括如上所述的点测设备40。床旁监护仪20、移动监护设备30和点测设备40的具体功能以及三者相互配合对病人进行监护的过程在上述实施例中已详细阐述,在此不做赘述。
有的实施例中,如图9所示,监护系统包括如上所述的移动监护设备30和如上所述的点测设备40。
移动监护设备30用于佩戴在病人身体上对病人进行监护,得到第一监护数据,移动监护设备30与目标监护设备通信连接,例如与移动监护设备30配对的监护设备为目标监护设备。
移动监护设备30包括处理器310、第一无线通信单元320和第二无线通信单元330。
处理器310通过第一无线通信单元320以第一无线传输方式接收点测设备40检测的病人的生理参数数据,并通过第二无线通信单元330以第二无线传输方式将第一监护数据和接收的点测设备40检测的病人的生理参数数据传输给目标监护设备,其中,第一无线通信单元320与第二无线通信单元330所采用的无线通信协议不同,第一无线传输方式与第二无线传输方式不同。目标监护设备可以是如上所述的中央站、床旁监护仪或另一移动监护设备等。
处理器310还通过第一无线通信单元320以第一无线传输方式接收与病人相关的信息,并将与病人相关的信息与第一监护数据和接收的点测设备40检测的病人的生理参数数据通过第二无线通信单元330以第二无线传输方式一并传输给目标监护设备。其中,“一并传输给目标监护设备”可以表示将这三类数据(与病人相关的信息、第一监护数据、点测设备40检测的病人的生理参数数据)打包成一个数据包一起发送给目标监护设备;当然也可以是分别发送给目标监护设备,并通过“关联信息(如发送给目标监护设备的相同的字符串、随机码、病人姓名、床号等,或是表示三者关联性的列表信息等等,该列表信息也可以事先存储在目标监护设备中,不必通过“发送”的方式进行获取)建立与病人的绑定关系(即,让目标监护设备知道接收的这些信息是属于哪个病人的)。
同样的,移动监护设备30的工作模式包括连续监护模式和间隔监护模式。处理器310还用于在移动监护设备30工作在间隔监护模式时,则控制移动监护设备30对病人进行间隔监护,通过第一无线通信单元320以第一无线传输方式接收点测设备40检测的病人的生理参数数据;将间隔监护得到的监护数据以及点测设备40检测的生理参数数据通过第二无线传输方式传输给目标监护设备。
移动监护设备30传输数据给目标监护设备之前,先与目标监护设备建立通信连接。例如,处理器310还用于通过第一无线通信单元320以第一无线传输的方式从目标监护设备获取连接信息。移动监护设备30可以包括一个或多个(两个或以上)第一无线通信单元320,本实施例中,第一无线通信单元320采用NFC模块,用于与点测设备40、床旁监护仪进行非接触式传输。移动监护设备30若包括一个第一无线通信单元320,则跟点测设备40、床旁监护仪以第一无线传输的方式传输数据使用同一第一无线通信单元320;移动监护设备30若包括多个第一无线通信单元320时,则跟点测设备40、床旁监护仪以第一无线传输的方式传输数据使用不同的第一无线通信单元320。
其中,连接信息可以包括目标监护设备和移动监护设备30中的任一设备的:设备标识码(即设备ID)或序列号码(Serial Number,简称为SN),也可以包括:由其中任一设备(目标监护设备或移动监护设备30)确定的通信信道标识码、IP地址、MAC地址、服务集标识码(Service Set Identifier,简称为SSID)、WEP(Wired Equivalent Privacy)协议、WPA(Wi-Fi Protected Access)协议、WPA2协议、WPA3协议、EAP(Extensible Authentication Protocol)协议等协议相关的信息中的一种;也可以包括目标监护设备或移动监护设备30生成的随机配对码。
当然,有的实施例中,处理器310还可以通过第一无线通信单元320向目标监护设备发送连接信息。例如,处理器310通过第一无线通信单元320广播连接信息。
处理器310基于连接信息,通过第二无线通信单元330与目标监护设备建立采用第二无线传输方式的通信连接;进而基于该通信连接,通过第二无线通信单元与目标监护设备进行数据交互,例如将与病人相关的信息、第一监护数据和点测设备40检测的病人的生理参数数据传输给目标监护设备。
本实施例中,连接信息为目标监护设备生成的随机配对码,该随机配对码可以是一个码,也可以是一对码。其中,目标监护设备生成一个码是指目标监护设备和移动监护设备30这两者之间具有的配对码完全相同,例如该码为1111;目标监护设备生成一对码是指目标监护设备和移动监护设备30这两者之间具有的配对码不相同,但有对应关系,例如目标监护设备生成随机配对码是1111和2222(例如通过数组建立配对关系列表),其中1111传送给移动监护设备30,2222是与1111配对的码,基于这一对码它们两者也可建立通信连接。
如图9所示,一实施例提供的点测设备40包括处理器410和第一无线通信单元420。
点测设备40的处理器410将点测设备40检测的病人的生理参数数据通过其第一无线通信单元420以第一无线传输方式发送给移动监护设备30,以供移动监护设备30通过设置在移动监护设备30上的第二无线通信单元以第二无线传输方式将所接收的点测设备40检测的病人的生理参数数据传输给目标监护设备。具体的,移动监护设备的工作模式包括连续监护模式和间隔监护模式。点测设备40的处理器410在移动监护设备30工作在间隔监护模式时,将其检测的病人的生理参数数据通过第一无线通信单元420以第一无线传输方式发送给移动监护设备30,以供移动监护设备30通过设置在移动监护设备30上的第二无线通信单元330以第二无线传输方式将所接收的点测设备40检测的病人的生理参数数据传输给目标监护设备。其中,点测设备40的第一无线通信单元420与移动监护设备30的第一无线通信单元320是适配的,两者以第一无线传输方式进行通信,具体见前述内容。本实施例中第一无线传输方式与第二无线传输方式不同,相应的,点测设备40和移动监护设备30的第一无线通信单元与移动监护设备30的第二无线通信单元330所采用的无线通信协议不同。
点测设备40的第一无线通信单元420可以是NFC模块,该NFC模块里面可以写入有与病人相关的信息(例如床号、设备号、随机码等,只要能与病人建立绑定关系即可),移动监护设备30靠近点测设备40就能获取该病人相关的信息,类似公交刷卡机刷卡的过程、POS机刷银行卡的过程;同时还能获取点测设备40采集的生理参数数据(例如体温、血氧和血压等),从而移动监护设备30将两者发送至目标监护设备,让目标监护设备知道该体温值来自哪个病人。整个过程操作非常简单高效,自动化程度高。
移动监护设备30和如上所述的点测设备40相互配合对病人进行监护的过程在上述实施例中已详细阐述,在此不做赘述。
本领域技术人员可以理解,上述实施方式中各种方法的全部或部分功能可以通过硬件的方式实现,也可以通过计算机程序的方式实现。当上述实施方式中全部或部分功能通过计算机程序的方式实现时,该程序可以存储于一计算机可读存储介质中,存储介质可以包括:只读存储器、随机存储器、磁盘、光盘、硬盘等,通过计算机执行该程序以实现上述功能。例如,将程序存储在设备的存储器中,当通过处理器执行存储器中程序,即可实现上述全部或部分功能。另外,当上述实施方式中全部或部分功能通过计算机程序的方式实现时,该程序也可以存储在服务器、另一计算机、磁盘、光盘、闪存盘或移动硬盘等存储介质中,通过下载或复制保存到本地设备的存储器中,或对本地设备的系统进行版本更新,当通过处理器执行存储器中的程序时,即可实现上述实施方式中全部或部分功能。
本文参照了各种示范实施例进行说明。然而,本领域的技术人员将认识到,在不脱离本文范围的情况下,可以对示范性实施例做出改变和修正。例如,各种操作步骤以及用于执行操作步骤的组件,可以根据特定的应用或考虑与系统的操作相关联的任何数量的成本函数以不同的方式实现(例如一个或多个步骤可以被删除、修改或结合到其他步骤中)。
另外,如本领域技术人员所理解的,本文的原理可以反映在计算机可读存储介质上的计算机程序产品中,该可读存储介质预装有计算机可读程序代码。任何有形的、非暂时性的计算机可读存储介质皆可被使用,包括磁存储设备(硬盘、软盘等)、光学存储设备(CD-ROM、DVD、Blu Ray盘等)、闪存和/或诸如此类。这些计算机程序指令可被加载到通用计算机、专用计算机或其他可编程数据处理设备上以形成机器,使得这些在计算机上或其他可编程数据处理装置上执行的指令可以生成实现指定的功能的装置。这些计算机程序指令也可以存储在计算机可读存储器中,该计算机可读存储器可以指示计算机或其他可编程数据处理设备以特定的方式运行,这样存储在计算机可读存储器中的指令就可以形成一件制造品,包括实现指定功能的实现装置。计算机程序指令也可以加载到计算机或其他可编程数据处理设备上,从而在计算机或其他可编程设备上执行一系列操作步骤以产生一个计算机实现的进程,使得在计算机或其他可编程设备上执行的指令可以提供用于实现指定功能的步骤。
虽然在各种实施例中已经示出了本文的原理,但是许多特别适用于特定环境和操作要求的结构、布置、比例、元件、材料和部件的修改可以在不脱离本披露的原则和范围内使用。以上修改和其他改变或修正将被包含在本文的范围之内。
前述具体说明已参照各种实施例进行了描述。然而,本领域技术人员将认识到,可以在不脱离本披露的范围的情况下进行各种修正和改变。因此,对于本披露的考虑将是说明性的而非限制性的意义上的,并且所有这些修改都将被包含在其范围内。同样,有关于各种实施例的优点、其他优点和问题的解决方案已如上所述。然而,益处、优点、问题的解决方案以及任何能产生这些的要素,或使其变得更明确的解决方案都不应被解释为关键的、必需的或必要的。本文中所用的术语“包括”和其任何其他变体,皆属于非排他性包含,这样包括要素列表的过程、方法、文章或设备不仅包括这些要素,还包括未明确列出的或不属于该过程、方法、系统、文章或设备的其他要素。此外,本文中所使用的术语“耦合”和其任何其他变体都是指物理连接、电连接、磁连接、光连接、通信连接、功能连接和/或任何其他连接。
具有本领域技术的人将认识到,在不脱离本发明的基本原理的情况下,可以对上述实施例的细节进行许多改变。因此,本发明的范围应根据以下权利要求确定。

Claims (44)

  1. 一种监护系统,其特征在于,包括:床旁监护仪、移动监护设备和中央站,其中,
    所述床旁监护仪用于监护病人,与所述移动监护设备配对;
    所述移动监护设备用于佩戴在病人身体上对病人进行监护,得到监护数据;所述移动监护设备的工作模式包括连续监护模式和间隔监护模式;所述移动监护设备还用于:
    工作在间隔监护模式,则对所述病人进行间隔监护,通过第一无线传输方式接收点测设备检测的病人的生理参数数据;将间隔监护得到的监护数据以及点测设备检测的生理参数数据通过第二无线传输方式传输给所述中央站;
    工作在连续监护模式,与所述床旁监护仪配对,共同对所述病人进行连续监护;将连续监护得到的监护数据以及点测设备检测的生理参数数据通过第二无线传输方式传输给所述中央站和/或所述配对的床旁监护仪。
  2. 如权利要求1所述的监护系统,其特征在于,还包括点测设备;所述点测设备用于基于用户的操作,对病人的至少一项生理参数进行检测,得到生理参数数据;能够通过第一无线传输方式使所述移动监护设备得到所述生理参数数据。
  3. 如权利要求1或2所述的监护系统,其特征在于,所述监护系统中,所述移动监护设备的数量多于所述床旁监护仪的数量,一部分所述移动监护设备在工作时分别与一个床旁监护仪配对且共同工作,一部分所述移动监护设备在工作时未与任一床旁监护仪配对。
  4. 如权利要求1或2所述的监护系统,其特征在于,所述移动监护设备将点测设备检测的生理参数数据通过第二无线传输方式传输给所述中央站,包括:
    在间隔监护模式,间隔的将点测设备检测的生理参数数据通过第二无线传输方式传输给所述中央站;
    在连续监护模式,实时的将点测设备检测的生理参数数据通过第二无线传输方式传输给所述中央站。
  5. 如权利要求3所述的监护系统,其特征在于,当第一床旁监护仪与第一移动监护设备配对且共同工作后,所述第一床旁监护仪还用于与所述第一移动监护设备断开连接,以便与不同于所述第一移动监护设备的第二移动监护设备配对且共同工作。
  6. 如权利要求1所述的监护系统,其特征在于,所述移动监护设备工作在连续监护模式但未与所述床旁监护仪配对,则单独对所述病人进行连续监护;将连续监护得到的监护数据以及点测设备检测的生理参数数据通过第二无线传输方式传输给所述中央站。
  7. 如权利要求1至6中任一项所述的监护系统,其特征在于,所述中央站用于:
    接收所述移动监护设备传输的所述点测设备检测的生理参数数据并按病人进行显示;接收所述移动监护设备传输的监护数据,对接收的所述监护数据进行处理得到生理参数值、生理参数曲线和报警事件中的至少一个,并按病人进行显示;和/或,
    判断所述生理参数数据是否超过对应的阈值,若是则输出对应的报警信息;和/或,
    判断所述监护数据中的一个或多个生理参数是否超过对应的阈值,若是则输出对应的报警信息。
  8. 如权利要求1至7中任一项所述的监护系统,其特征在于,
    在第一预设时期,所述床旁监护仪对所述病人进行连续监护;
    从所述第一预设时期进入到第二预设时期后,所述移动监护设备工作在间隔监护模式;在间隔监护模式得到的监护数据中,预设生理参数超过对应的阈值则进入第三预设时期,所述移动监护设备从所述间隔监护模式切换到所述连续监护模式。
  9. 如权利要求8所述的监护系统,其特征在于,在第一预设条件和/或用于切换工作模式的指令的触发下,所述移动监护设备从所述连续监护模式切换到所述间隔监护模式;其中,所述第一预设条件包括:所述移动监护设备工作在所述连续监护模式的持续时间超过预设时长,预设时刻到来,或者所述移动监护设备与配对的床旁监护仪断开连接。
  10. 如权利要求1至9中任一项所述的监护系统,其特征在于,
    在所述移动监护设备未与任一床旁监护仪配对且单独工作在所述间隔监护模式时,所述中央站还用于:获取所述病人当前的EWS评分;在所述EWS评分高于预设分数时,控制所述病人的移动监护设备从所述间隔监护模式切换到所述连续监护模式,或者,输出提示用户将所述移动监护设备与一个所述床旁监护仪进行配对而共同工作并采用所述连续监护模式的信息;和/或
    在所述移动监护设备未与任一床旁监护仪配对且单独工作在所述连续监护模式时,所述中央站用于:获取所述病人当前的EWS评分;在所述EWS评分低于所述预设分数时,控制所述移动监护设备从所述连续监护模式切换到所述间隔监护模式;和/或,
    在所述移动监护设备与所述床旁监护仪配对且共同工作在所述连续监护模式时,所述中央站还用于:获取所述病人当前的EWS评分,在所述EWS评分低于所述预设分数时,控制所述移动监护设备从所述连续监护模式切换到所述间隔监护模式,和/或输出提示用户断开所述移动监护设备与配对的所述床旁监护仪的连接的信息。
  11. 如权利要求1至10中任一项所述的监护系统,其特征在于,
    所述移动监护设备在连续监护模式对生理参数进行的测量的频率大于间隔监护模式;或者,
    所述移动监护设备在连续监护模式传输监护数据给所述中央站和/或配对的床旁监护仪的频率大于间隔监护模式。
  12. 如权利要求1至11中任一项所述的系统,其特征在于,所述床旁监护仪用于对病人的血氧参数、血压参数、脉率参数、体温参数、心电参数、呼吸参数、睡眠参数中的至少一个进行测量;所述点测设备检测的生理参数数据包括体温参数数据、血压参数数据、血糖参数数据中的至少一个;所述移动监护设备得到的监护数据包括血氧参数数据、血压参数数据、脉率参数数据、体温参数数据、心电参数数据、呼吸参数数据、睡眠参数数据、运动参数数据中至少一个。
  13. 一种监护系统,其特征在于,包括:
    中央站;
    移动监护设备,用于佩戴在病人身体上对病人进行监护,得到监护数据;所述移动监护设备的工作模式包括连续监护模式和间隔监护模式;所述移动监护设备还用于:
    工作在间隔监护模式,则对所述病人进行间隔监护,通过第一无线传输方式接收点测设备检测的病人的生理参数数据;将间隔监护得到的监护数据以及点测设备检测的生理参数数据通过第二无线传输方式传输给所述中央站;
    工作在连续监护模式,对所述病人进行连续监护;将连续监护得到的监护数据以及点测设备检测的生理参数数据通过第二无线传输方式传输给所述中央站。
  14. 如权利要求13所述的监护系统,其特征在于,还包括点测设备;所述点测设备用于基于用户的操作,对病人的至少一项生理参数进行检测,得到生理参数数据;能够通过所述第一无线传输方式使所述移动监护设备得到所述生理参数数据。
  15. 如权利要求13或14所述的监护系统,其特征在于,所述移动监护设备将点测设备检测的生理参数数据通过第二无线传输方式传输给所述中央站,包括:
    在间隔监护模式,间隔的将点测设备检测的生理参数数据通过第二无线传输方式传输给所述中央站;
    在连续监护模式,实时的将点测设备检测的生理参数数据通过第二无线传输方式传输给所述中央站。
  16. 如权利要求1-15中任一项所述的监护系统,其特征在于,所述第一无线传输方式为近距离通信;所述移动监护设备将点测设备检测的生理参数数据通过第二无线传输方式传输给所述中央站,包括:
    将点测设备检测的生理参数数据与病人的标识信息关联,将所述标识信息和所述生理参数数据通过第二无线传输方式传输给所述中央站。
  17. 如权利要求1-15中任一项所述的监护系统,其特征在于,所述第一无线传输方式为近距离通信;所述第一无线传输方式与所述第二无线传输方式不同。
  18. 一种中央站,应用于监护系统,所述监护系统还包括:与所述中央站无线通信连接的移动监护设备,其特征在于,
    所述移动监护设备用于佩戴在病人身体上对病人进行监护,得到监护数据,通过第一无线传输方式接收点测设备检测的病人的生理参数数据;所述移动监护设备的工作模式包括连续监护模式和间隔监护模式;
    所述中央站用于:
    通过第二无线传输方式接收所述移动监护设备工作在间隔监护模式时传输的间隔监护得到的监护数据以及点测设备检测的生理参数数据;
    通过第二无线传输方式接收所述移动监护设备工作在连续监护模式时传输的连续监护得到的监护数据以及点测设备检测的生理参数数据;
    按病人显示所述点测设备检测的生理参数数据;
    对接收的所述监护数据进行处理得到生理参数值、生理参数曲线和报警事件中的至少一个,并按病人进行显示。
  19. 如权利要求18所述的中央站,其特征在于,所述第一无线传输方式为近距离通信;所述移动监护设备将点测设备检测的生理参数数据通过第二无线传输方式传输给所述中央站,包括:
    将点测设备检测的生理参数数据与病人的标识信息关联,将所述标识信息和所述生理参数数据通过第二无线传输方式传输给所述中央站。
  20. 如权利要求18所述的中央站,其特征在于,所述中央站还用于:
    按病人显示所述点测设备检测的生理参数数据时,还显示所述点测设备的标识或者还显示所述生理参数数据的采集时间。
  21. 一种监护系统,其特征在于,包括:
    床旁监护仪;
    移动监护设备,用于佩戴在病人身体上对病人进行监护,得到监护数据;所述移动监护设备的工作模式包括连续监护模式和间隔监护模式;所述移动监护设备还用于:
    工作在间隔监护模式,则对所述病人进行间隔监护,通过第一无线传输方式接收点测设备检测的病人的生理参数数据;将间隔监护得到的监护数据以及点测设备检测的生理参数数据通过第二无线传输方式传输给所述床旁监护仪;
    工作在连续监护模式,与所述床旁监护仪配对,共同对所述病人进行连续监护;将连续监护得到的监护数据以及点测设备检测的生理参数数据通过第二无线传输方式传输给所述床旁监护仪。
  22. 如权利要求21所述的监护系统,其特征在于,还包括点测设备;所述点测设备用于基于用户的操作,对病人的至少一项生理参数进行检测,得到生理参数数据;能够通过所述第一无线传输方式使所述移动监护设备得到所述生理参数数据。
  23. 一种监护系统,包括移动监护设备和点测设备,
    所述移动监护设备用于佩戴在病人身体上对病人进行监护,得到第一监护数据,所述移动监护设备与目标监护设备通信连接;
    所述点测设备用于检测病人的生理参数数据;其特征在于:
    所述移动监护设备包括处理器、第一无线通信单元和第二无线通信单元,所述移动监护设备通过所述第一无线通信单元以第一无线传输方式接收所述点测设备检测的病人的生理参数数据,并通过所述第二无线通信单元以第二无线传输方式将所述第一监护数据和接收的所述点测设备检测的病人的生理参数数据传输给所述目标监护设备,其中,所述第一无线通信单元与所述第二无线通信单元所采用的无线通信协议不同,所述第一无线传输方式与所述第二无线传输方式不同。
  24. 如权利要求23所述的监护系统,其特征在于,所述移动监护设备还通过所述第一无线通信单元以所述第一无线传输方式接收与病人相关的信息,并将所述与病人相关的信息与所述第一监护数据和接收的所述点测设备检测的病人的生理参数数据通过所述第二无线通信单元以所述第二无线传输方式一并传输给所述目标监护设备。
  25. 如权利要求23或24的监护系统,其特征在于,所述处理器用于执行如下操作:
    通过所述第一无线通信单元以所述第一无线传输的方式从所述目标监护设备获取连接信息,或者,向所述目标监护设备发送连接信息;
    基于所述连接信息,通过所述第二无线通信单元与所述目标监护设备建立采用所述第二无线传输方式的通信连接;
    基于所述通信连接,通过所述第二无线通信单元与所述目标监护设备进行数据交互。
  26. 如权利要求23至25中任一项所述的监护系统,其特征在于,所述目标监护设备为中央站、床旁监护仪或另一移动监护设备。
  27. 如权利要求23所述的监护系统,其特征在于:
    所述移动监护设备的工作模式包括连续监护模式和间隔监护模式;所述移动监护设备还用于:
    工作在间隔监护模式,则对所述病人进行间隔监护,通过所述第一无线通信单元以所述第一无线传输方式接收所述点测设备检测的病人的生理参数数据;将间隔监护得到的监护数据以及点测设备检测的生理参数数据通过所述第二无线传输方式传输给所述目标监护设备。
  28. 一种点测设备,应用于监护系统,所述监护系统还包括:与所述点测设备无线通信连接的移动监护设备,以及与所述移动监护设备无线通信连接的目标监护设备,其中,所述移动监护设备用于佩戴在病人身体上对病人进行监护,得到第一监护数据,所述移动监护设备与目标监护设备通信连接并采集的所述监护数据发送给所述目标监护设备,所述点测设备检测病人的生理参数数据,其特征在于,
    所述点测设备包括处理器和第一无线通信单元,所述点测设备将其检测的病人的生理参数数据通过所述第一无线通信单元以第一无线传输方式发送给所述移动监护设备,以供所述移动监护设备通过设置在所述移动监护设备上的第二无线通信单元以第二无线传输方式将所接收的所述点测设备检测的病人的生理参数数据传输给所述目标监护设备,其中,所述第一无线通信单元与所述第二无线通信单元所采用的无线通信协议不同,所述第一无线传输方式与所述第二无线传输方式不同。
  29. 如权利要求28所述的点测设备,其特征在于,所述目标监护设备为中央站、床旁监护仪或另一移动监护设备。
  30. 如权利要求28所述的点测设备,其特征在于:
    所述移动监护设备的工作模式包括连续监护模式和间隔监护模式,所述点测设备在所述移动监护设备工作在所述间隔监护模式时,将其检测的病人的生理参数数据通过所述第一无线通信单元以第一无线传输方式发送给所述移动监护设备,以供所述移动监护设备通过设置在所述移动监护设备上的第二无线通信单元以第二无线传输方式将所接收的所述点测设备检测的病人的生理参数数据传输给所述目标监护设备。
  31. 一种监护方法,其特征在于,包括:
    移动监护设备工作在间隔监护模式,对病人进行间隔监护,通过第一无线传输方式接收点测设备检测的病人的生理参数数据;将间隔监护得到的监护数据以及点测设备检测的生理参数数据通过第二无线传输方式传输给中央站;
    移动监护设备工作在连续监护模式,与床旁监护仪配对,共同对所述病人进行连续监护;将连续监护得到的监护数据以及点测设备检测的生理参数数据通过第二无线传输方式传输给所述中央站和/或所述配对的床旁监护仪。
  32. 如权利要求31所述的监护方法,其特征在于,所述移动监护设备的数量多于所述床旁监护仪的数量,一部分所述移动监护设备在工作时分别与一个床旁监护仪配对且共同工作,一部分所述移动监护设备在工作时未与任一床旁监护仪配对。
  33. 如权利要求31所述的监护方法,其特征在于,所述移动监护设备将点测设备检测的生理参数数据通过第二无线传输方式传输给所述中央站,包括:
    在间隔监护模式,间隔的将点测设备检测的生理参数数据通过第二无线传输方式传输给所述中央站;
    在连续监护模式,实时的将点测设备检测的生理参数数据通过第二无线传输方式传输给所述中央站。
  34. 如权利要求31所述的监护方法,其特征在于,所述第一无线传输方式为近距离通信;所述移动监护设备将点测设备检测的生理参数数据通过第二无线传输方式传输给所述中央站,包括:
    将点测设备检测的生理参数数据与病人的标识信息关联,将所述标识信息和所述生理参数数据通过第二无线传输方式传输给所述中央站。
  35. 如权利要求32所述的监护方法,其特征在于,当第一床旁监护仪与第一移动监护设备配对且共同工作后,所述第一床旁监护仪还用于与所述第一移动监护设备断开连接,以便与不同于所述第一移动监护设备的第二移动监护设备配对且共同工作。
  36. 如权利要求31所述的监护方法,其特征在于,还包括:所述移动监护设备工作在连续监护模式但未与所述床旁监护仪配对,则单独对所述病人进行连续监护;将连续监护得到的监护数据以及点测设备检测的生理参数数据通过第二无线传输方式传输给所述中央站。
  37. 如权利要求31至36中任一项所述的监护方法,其特征在于,所述方法还包括:
    所述中央站接收所述移动监护设备传输的所述点测设备检测的生理参数数据并按病人进行显示;接收所述移动监护设备传输的监护数据,对接收的所述监护数据进行处理得到生理参数值、生理参数曲线和报警事件中的至少一个,并按病人进行显示;和/或,
    判断所述生理参数数据是否超过对应的阈值,若是则输出对应的报警信息;和/或,
    判断所述监护数据中的一个或多个生理参数是否超过对应的阈值,若是则输出对应的报警信息。
  38. 如权利要求31至37中任一项所述的监护方法,其特征在于,所述方法还包括:
    在第一预设时期,所述床旁监护仪对所述病人进行连续监护;
    从所述第一预设时期进入到第二预设时期后,所述移动监护设备工作在间隔监护模式;在间隔监护模式得到的监护数据中,预设生理参数超过对应的阈值则进入第三预设时期,所述移动监护设备从所述间隔监护模式切换到所述连续监护模式。
  39. 如权利要求38所述的监护方法,其特征在于,所述方法还包括:
    在第一预设条件和/或用于切换工作模式的指令的触发下,所述移动监护设备从所述连续监护模式切换到所述间隔监护模式;其中,所述第一预设条件包括:所述移动监护设备工作在所述连续监护模式的持续时间超过预设时长,预设时刻到来,或者所述移动监护设备与配对的床旁监护仪断开连接。
  40. 如权利要求31至39中任一项所述的监护方法,其特征在于,所述方法还包括:
    在所述移动监护设备未与任一床旁监护仪配对且单独工作在所述间隔监护模式时,所述中央站还用于:获取所述病人当前的EWS评分;在所述EWS评分高于预设分数时,控制所述病人的移动监护设备从所述间隔监护模式切换到所述连续监护模式,或者,输出提示用户将所述移动监护设备与一个所述床旁监护仪进行配对而共同工作并采用所述连续监护模式的信息;和/或
    在所述移动监护设备未与任一床旁监护仪配对且单独工作在所述连续监护模式时,所述中央站用于:获取所述病人当前的EWS评分;在所述EWS评分低于所述预设分数时,控制所述移动监护设备从所述连续监护模式切换到所述间隔监护模式;和/或,
    在所述移动监护设备与所述床旁监护仪配对且共同工作在所述连续监护模式时,所述中央站还用于:获取所述病人当前的EWS评分,在所述EWS评分低于所述预设分数时,控制所述移动监护设备从所述连续监护模式切换到所述间隔监护模式,和/或输出提示用户断开所述移动监护设备与配对的所述床旁监护仪的连接的信息。
  41. 如权利要求31至40中任一项所述的监护方法,其特征在于,
    所述移动监护设备在连续监护模式对生理参数进行的测量的频率大于间隔监护模式;或者,
    所述移动监护设备在连续监护模式传输监护数据给所述中央站和/或配对的床旁监护仪的频率大于间隔监护模式。
  42. 一种监护方法,其特征在于,包括:
    移动监护设备工作在间隔监护模式,对病人进行间隔监护,通过第一无线传输方式接收点测设备检测的病人的生理参数数据;将间隔监护得到的监护数据以及点测设备检测的生理参数数据通过第二无线传输方式传输给中央站;
    工作在连续监护模式,对所述病人进行连续监护;将连续监护得到的监护数据以及点测设备检测的生理参数数据通过第二无线传输方式传输给所述中央站。
  43. 一种监护方法,其特征在于,包括:
    移动监护设备工作在间隔监护模式,则对病人进行间隔监护,通过第一无线传输方式接收点测设备检测的病人的生理参数数据;将间隔监护得到的监护数据以及点测设备检测的生理参数数据通过第二无线传输方式传输给床旁监护仪;
    工作在连续监护模式,与所述床旁监护仪配对,共同对所述病人进行连续监护;将连续监护得到的监护数据以及点测设备检测的生理参数数据通过第二无线传输方式传输给所述床旁监护仪。
  44. 如权利要求31-43中任一项所述的监护方法,其特征在于,所述第一无线传输方式为近距离通信;所述第一无线传输方式与所述第二无线传输方式不同。
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