CN100581445C - Mobile monitoring - Google Patents

Abstract

A wireless network for monitoring a patient (10) comprises at least one wearable monitor (12, 70) including a physiological condition sensor (34, 74) coupled to the patient (10) to sense and communicate data related to one physiological function of the patient (10). A first body communication unit (16, 78) interfaces with the at least one wearable monitor (12, 70) to communicate over the patient (10) utilizing a near field capacitive body coupled protocol. A relay system (14, 50 72) includes a second body communication unit (18, 52, 80) that receives data from the at least one wearable monitor (12, 70) and communicates with the first body communication unit (16, 78) utilizing the near field capacitive body coupled protocol. An external communication unit (22) communicates the data to a remote medical monitoring station via a cell phone network or the internet.

Description

Mobile monitoring

Technical field

The application relates to the wireless body network.Find that the present invention is specially adapted to be relayed to the warning that cell phone also further is relayed to supervision and/or alarm center from one or more wireless sensers.Yet, it being understood that finding that the present invention also is applicable to provide between wireless senser and the transceiver that can receive in conjunction with the near field body of communication technology communicates by letter.

Background technology

Typically, the patient to their one or more physiological functions be monitored when looking after when being medically treated in medical institutions.For example, preferably want monitor heart function, pulse, blood pressure, blood oxygen level etc.Routinely, utilize the pick off that is connected with the various output devices that can notify the one or more situations of healthcare givers to finish this supervision.Replacedly, can adopt wireless senser, use wireless network that this transfer of data is arrived one or more transceivers, such as display, monitor, memorizer, center terminal etc.

This pick off typically provides the continuous monitoring to particular physiological function, and if emergency situation provides the output of reporting to the police.Can utilize this warning output of general communication technical transmission, such as wired hospital network, radio frequency, bluetooth (Bluetooth) or magnetic coupling (B field) etc.Yet in the time of outside this patient is in this controlled medical institutions' communication environment scope, it is unreliable that the general communication technology may become.When cell phone provided the general communication link between patient and remote site, the direct communication of monitor in case of emergency is difficulty more.The ECG monitor can directly connect cell phone, but the securing electric lines inconvenience, and this electric wire disturbs this cellular normal use.Common and the Bluetooth communication protocol compatibility of cell phone.Yet in some cases, body attenuation has stoped the correct propagation of signal.For example, if the patient falls down (for example because heart attack) and push down the ECG system that chest is installed, this Bluetooth communication is decayed widely by health, and typically interrupts.

The direct penetrating body of magnetic coupling communication signal, but consume too lot of energy and limited portability.Because battery weight is carried a large amount of supplying cells and inconvenient.In addition, magnetic coupling is unidirectional typically, and it also is not suitable for bi-directional verification routines.

Typically, because the connection of static configuration, communicating by letter between this wireless senser and this mobile phone is fixed.When main mobile phone is unavailable, this static configuration stoped in case of emergency with near the safety of other mobile phone be connected flexibly.And this fixed correlation has restricted the steady operation of this system under a plurality of user situations.

The equipment and the method that in US 2003/0144581A1, provide the analyte concentration that occurs in being used for biosystem to carry out frequency measurement.Adopt one to have the surveillance of at least two parts so that allow data collection with date processing and display separation.This separation gives user's greater flexibility and convenience.

A kind of method that is used to monitor individual healthy sign is provided in US 2002/0013538A1, and it comprises step: utilize the sensor unit of placing near this people to detect at least one healthy sign feature of this people; Produce the health signal of at least one healthy sign of this people of indication from this sensor unit; By wireless connections described health signal is sent to receiving element from this individual; Handle described health signal to determine whether to exist emergency; And the indication of emergency offered the destination node of network, wherein will move electric power and impose on receiving element in initialize mode.Described receiving element determines whether receiving element has received id signal from sensor unit, and the sensor unit of the id signal that only receives from having receives health signal.

Described a kind of system, method, equipment and computer program code that is used to transmit therapeutic scheme in US2003/0125017A1, it comprises the PAN (Personal Area Network) that generation is relevant with the patient.Described PAN (Personal Area Network) sends the patient identifier relevant with described patient, obtains the treatment data relevant with described patient's identifier, and operates therapeutic equipments according to described treatment data.

The purpose of this invention is to provide a kind of improving equipment and method of aforementioned and other restriction that overcome.

Described purpose is to realize by the described method that is used for the wireless network of monitored patient and is used in wireless network the transmission medical information of independent claims.

Define preferred embodiment in the dependent claims.

Summary of the invention

According to an aspect of the present invention, a kind of wireless network that is used for monitored patient comprises at least one wearable monitor, and it comprises the coupled physiological condition sensor with the patient, with sensing and transmit data that physiological function is relevant with this patient.First body communication unit has the interface of at least one wearable monitor with this, communicates by this patient to utilize the body-coupled agreement of near field capacitive (near field capacitivebody coupled protocol).Relay system comprises second body communication unit, and it receives the data of at least one wearable monitor from this, and utilizes the body-coupled agreement of this near field capacitive to communicate by letter with this first body communication unit.External communications units will receive data and be sent to the tele-medicine monitoring station., wherein this relay system comprises cell phone, this cell phone comprises second body communication unit and this external communications units.When this cell phone touch this patient or with the patient closely near the time described second body communication unit receive data with this body-coupled protocol transmission, described external communications units arrives this tele-medicine monitoring station with these data by cellular phone network communications.This wearable monitor comprises that low-power radio frequency transmitter and this cell phone comprise radio-frequency transmitter.When this second body communication unit do not touch this patient or with the patient closely near the time described radio-frequency transmitter directly receive physiological data from this wearable monitor.

According to a further aspect in the invention, a kind of method that is used in wireless network the communication medical information comprise by with coupled this patient's of sensor monitoring of patient physiological situation.Via at least one wearable monitor connects to utilize first body communication unit that capacitive body-coupled agreement near field communicates by this patient data that physiological function is relevant from this sensor communication and this patient with this.Via receiving from this data of at least one wearable monitor and second body communication unit of utilizing the body-coupled agreement of this near field capacitive to communicate by letter these data are relayed to the mobile alarm relay system from this wearable monitor with this first body communication unit.These data are from this mobile alarm relay system tele-medicine monitoring station of communicating by letter.

In accordance with a further aspect of the present invention, a kind of method that is used in wireless network the transmission medical information comprises wearable monitor related with the mobile alarm relay system, comprise utilize the body-coupled agreement of near field capacitive first body communication unit related with this wearable monitor and and related second body communication unit of this mobile alarm relay system between initialize communications.By sending the checking request to this mobile alarm relay system from this wearable monitor, and return the checking secret key to this wearable monitor from this mobile alarm relay system, between this wearable monitor and this mobile alarm relay system, set up secure communication.Examine communicating by letter to activating between this wearable monitor and this mobile alarm relay system being connected between this wearable monitor and this mobile alarm relay system by monitoring, and if this connection become non-activation, just produce and report to the police.If the data by this wearable monitor transmission exceed predetermined threshold, just trigger and report to the police, comprise from this wearable monitor sending warning message, and this warning message is relayed to external network from this mobile alarm relay system to this mobile alarm relay system.

An advantage of the invention is that it is convenient in case of emergency to patient monitoring station transmission medical information.

Another advantage is the medical care professionals that the outer medical information that monitors of patient is sent to this patient automatically.

Another advantage is that medical information can be relayed to transceiver, and does not have the risk that is decayed by this patient.

Another advantage is the medical information of can communicating by letter redundantly, receives this information to guarantee transceiver.

Another advantage is to make patient monitor can interconnect and use the existing cellular phone network medical information of communicating by letter.

Another advantage is to need the patient of frequent medical monitoring freely to move in community.

Will know many other advantages and benefit on the basis of those of ordinary skill in the art's detailed description of the preferred embodiment below reading.

Description of drawings

The present invention can take various assemblies and assembly setting, and various step and step setting.Accompanying drawing only is used to describe the purpose of the preferred embodiment, and should not be interpreted as the restriction to invention.

Fig. 1 has described body-coupled communication network, and it comprises the wireless senser of communicating by letter with one or more external device (ED)s via the mobile alarm relay component.

Fig. 2 has described the agreement of communicating by letter be convenient to employed in figure 1 between this wireless senser, this mobile alarm relay component and one or more external device (ED)s.

Fig. 3 has described and has utilized body coupled communication technology and the next communication network to outside network transmission information of radio-frequency technique.

Figure 4 shows that the agreement of utilizing body coupled communication technology and radio-frequency technique to communicate be convenient to employed in figure 3.

Figure 5 shows that the redundancy communication network, it adopts body coupled communication technology and radio-frequency technique transmission information between wireless senser and relay component.

Figure 6 shows that and employed in figure 5ly be convenient to utilize body coupled communication technology and radio-frequency technique between this wireless senser and this relay component, to carry out the agreement of redundancy communication.

The specific embodiment

Patient 10 is equipped with one or more wearable monitors, such as wearable electrocardiogram (ECG) monitor (WCM) 12 and mobile alarm relay system (MAR) 14 (for example mobile phone, PDA or other device of being connected with wireless network), it is used for the warning that thiswearable monitor 12 is produced is forwarded to external entity.It being understood that thiswearable monitor 12 can be used for monitoring any physiological function relevant with this patient 10.Thiswearable monitor 12 and this mobilealarm relay system 14 all are equipped with body communication unit (BCU) 16,18.Coupling utilizes near-field body coupled communication technology to communicate to thisBCU 16,18 according to capacitive.

That thiswearable monitor 12 is designed to power efficient and use low energy consumption technologies, thus make and can use less relativelybattery 20 its power supply.This monitor is viaexternal connection device 22, for example by with the emission/receiving unit of thecell phone 24 of this cellular phone network communications institute's physiological condition being monitored being communicated by letter to remote monitoring stations.Thisexternal connection device 22 comprisesalarm recognition component 26, and it determines whether thiswearable monitor 12 has sensed alarm condition.Thisalarm recognition component 26 adoptsmemorizer 28 to store before this warning and the output of monitor afterwards, is used for retrieval subsequently.Thismemorizer 28 can be stored thiswearable monitor 12 additional datas relevant with this patient's 10 special physiological function that sent.Coupling assembling element 30 should couple together with thiscell phone 24 by mobile relaying 14.

This mobile relaying 14 preferably is designed to contact with the part of health or closely closely carry with it, for example is placed on pocket or is entangled on the wrist, and that works carries more multiple amount, especially can carry bigger battery 32.In the preferred embodiment, this mobilealarm relay system 14 comprises this BCU and other circuit and properly programmed portable cellular phone for being modified to.

At first, this BCU 16,18 carries out association via body coupled communication.In this stage of communication, can set up safety, and can in communications component, exchange the checking secret key of sharing.After the initialization of finishing thisBCU 16,18, set up the connection between thisBCU 16,18 and can begin communication.In case after the communication beginning, monitor examining of communicating by letter between thisBCU 16,18, to guarantee that this communication keeps activating.If communication can trigger warning so for non-activation, inform this communication failure of this system.

This wearable monitor BCU 16 receives physiologic information from electrocardiogram (ECG) pick off 34 or other pick off.Alternatively,alarm sensor 36 determines whether the output of this monitor needs to send warning message.Via this wearable monitor BCU 16 this warning message is communicated by letter to this mobilealarm relay system 14, with further relaying.Replacedly, the data of all supervision can transmit, and thealarm recognition circuit 26 of this relaying 14 can discern alarm condition, rather than alarm signal.In this preferred cell phone embodiment, this alarm signal makes this cell phone dial in to the telephone number of preliminary election, to report this emergency.Preferably, this cell phone comprisesgps system 38, and its position with this patient that suffers a calamity or disaster also sends the medical worker or the emergency dispatcher of this receiving station to.

In addition, the ECG data can be sent to this mobilealarm relay system 14 that uses alarm signal, make this long-range receiving station to determine action plan according to the data of this particularization.For example, if this patient's pulse has surpassed alarm threshold value, when thispatient 10 was nursed, the nursing staff can utilize this pulse data to determine the suitable action that will take so.In another embodiment, with this data storage in thememorizer 28 of this mobilealarm relay system 14 or thiswearable monitor 12, thereby data can be trended towards determining this patient's 10 previous situation.In also having another embodiment, can periodically data be downloaded to teleprocessing unit to analyze from thismemorizer 28.

Fig. 2 has described this communication protocol between thiswearable monitor 12 shown in Fig. 1 and this mobile alarm relay system 14.Adopt body coupled communication protocol, so that communicating by letter between thiswearable monitor 12 and this mobile alarm relay system 14.In case should be incorporated into this network (for example taking on one's body the patient) bywearable monitor 12, find by sending to this mobilealarm relay system 14 that signals finished the discovery to thiswearable monitor 12 from this wearable monitor 12.This mobilealarm relay system 14 sends back to thiswearable monitor 12 with a response signal.Can set up safety by exchange shared authentication secret key between thiswearable monitor 12 and this mobile alarm relay system 14.Ask to these mobilealarm relay system 14 communication checkings from thiswearable monitor 12, and will verify that by this mobilealarm relay system 14 secret key turns back to this wearable monitor 12.Send correlation signal from thiswearable monitor 12 to this mobilealarm relay system 14, and this mobilealarm relay system 14 returns confirmation signal, to examine by network in being connected of setting up between thiswearable monitor 12 and this mobilealarm relay system 14.

In case set up communication, send reception of signals from thiswearable monitor 12 to this mobilealarm relay system 14 at any time.When receiving reception of signals, this mobilealarm relay system 14 returns confirmation signal, to represent that communicating by letter between thiswearable monitor 12 and the network is activation.In thatwearable monitor 12 detects under the situation of warning by this, send alarm signal to this mobilealarm relay system 14 from this wearable monitor 12.In one embodiment, also can transmit data together, so that the specifying information relevant with this warning to be provided with alarm signal.Further this alarm signal is sent to long-range receiving unit (for example transceiver) from this mobilealarm relay system 14, to trigger external alert.When having a plurality of mobile monitors, use similar agreement to come to communicate by letter respectively with 14 foundation of this mobile alarm relay system.

In Fig. 3, thispatient 10 is equipped withwearable monitor 12 and sign and relay component (IRC) 50 once more.Thiswearable monitor 12 is equipped with body communication unit (BCU) 16,52 respectively with this relaying 50.This BCU 16,52 uses two-way near-field body coupled communication technology to communicate, and it is based on capacitively coupled with this patient body.This wearable monitor BCU 16 receives by thesewearable monitor 12 detected warning messages from electrocardiogram (ECG) pick off 34.Warning message is sent to this IRC 50 via this wearable monitor BCU 16 fromalarm sensor 36, with further relaying.

Than being positioned near near thiswearable monitor 12 the heart, this IRC 50 can be placed on the part of health (for example arm or lower limb) with not decaying risk.ThisIRC 50 comprises sign (ID)assembly 54 that unique patient's identification is provided.This IRC 50 further comprisesRF system 56, and it preferably uses bluetooth or other short distance, low-power transmission system to transmit the information that is used to communicate by letter to the mobile alarm relay system that is preferablycell phone 60 via RF system 58.At last, thiscell phone 60 is relayed to data by this cellular phone network this medical worker of receiving station.Replacedly or additionally, this relaying can communicate with the PC or the PCA of communicate by letter on the internet this warning or out of Memory.Also can conceive and use other network communication device.In this way, the patient information of collecting in a zone of patient body just can be sent to global network from this patient's 10 center.

Alarm recognition component 26 determines whether thiswearable monitor 12 has sent warning.Thisalarm recognition component 26 adoptsmemorizer 28 to come store alarms, is used for retrieval subsequently.Thismemorizer 28 can be stored thiswearable monitor 12 additional datas relevant with this patient's 10 special physiological function that sent.Connection Element 30 couples together this relaying 50 with this cell phone 60.More specifically, theRF system 56 of this relaying 60 with external connection device, for example partly be connected, to communicate by this cellular phone network with this cellular transmission.

Fig. 4 has described the message flow between thiswearable monitor 12, this relaying 50 and this mobile alarm relay system or thecell phone 60 of Fig. 3.Via the body coupled communication technology so that communicating by letter between thiswearable monitor 12 and this relaying 50.Communicating by letter between this relaying 50 and this mobile alarm relay system or thecell phone 38 finished via radio frequency (RF) technology.Initial, find thisBCU 16,52 of thiswearable monitor 12 and this relaying 50 by this body coupled communication network.Send the discovery signal from thiswearable monitor 12 to this relaying 50, relaying 50 returns a response signal and gives this wearable monitor 12.Then, set up safety by exchange shared authentication secret key between thiswearable monitor 12 and this relaying 50.Thiswearable monitor 12 sends the checking request to thisrelaying 50, and this relaying 50 will verify that secret key returns to this wearable monitor 12.At last, connect between the BCU 16,52 of thiswearable monitor 12 and this relaying 50 via this body coupled communication network.Send correlation signal from thiswearable monitor 12 to this relaying 50.This relaying 50 returns confirmation signal and gives thiswearable monitor 12, sets up communication to verify.In addition, send to thiscell phone 60 at this relaying 50 and be connected setting up RF between this relaying 50 and thiscell phone 60 after connecting signal.

Monitor and examine being connected between thiswearable monitor 12, this relaying 50 and this cell phone 60 (mobile alarm relay system).Thiswearable monitor 12 sends reception of signals to this relaying 50, and sends another reception of signals from this relaying 50 to thiscell phone 60 or another mobile alarm relay system.Thiscell phone 60 responds by sending confirmation signal to this relaying 50.And, also send confirmation signal to thiswearable monitor 12 from this relaying 50.In this way, inform whether this network communication failure takes place.Communicate by letter in case set up between thiswearable monitor 12, this relaying 50 and thiscell phone 60, just realized safety, and the transmission of reception of signals and reception.

If thiswearable monitor 12 detects warning, so just send the ECG alarm signal to this relaying 50 from this wearable monitor 12.Afterwards, send alarm signal or warning id signal from this relaying 50 to thiscell phone 60 or other mobile alarm relay system.After this relaying 26 receives this warning and id signal, thiscell phone 60 just sends external alarm signal to this medical emergency receiving station.

Fig. 5 has described a kind of redundant communication system, and wherein thispatient 10 is furnished with wearable monitor (WCM) 70 and mobile alarm relay system (MAR) 72, and it is used for warning is forwarded to externalnetwork.ECG monitor 74 monitors this patient's heart.In addition or replacedly,alarm sensor 76 monitors the 2nd ECG or other physiological situations, and determine when occur reporting to the police trigger not normal.Thiswearable monitor 70 and thisrelay system 72 all are furnished with body communication unit (BCU) 78,80 and RF (for example bluetooth)communication unit 82,84, are used for communicating by letter end to end mutually.In one embodiment, thisrelay system 72 is furnished with cellular network in addition and connects, and it is used for reporting to the police and transmits.For example, when available the time, this relay system can be embodied in the cell phone, and it uses this body-coupled communication system and this wearable monitor to communicate.Yet, when this cell phone and this patient are isolating,, just use this short range radio communication system for example when when recharging.

Thiswearable monitor 70 and thisrelay system 72 are by checking two communication links regularly and guaranteeing to put at any time that to have a communication link at least be available the communicating by letter of they of automatically managing.If it is available not having communication link, the alert/notification of so just can communicating by letter.

Fig. 6 has described thiswearable monitor 70 of Fig. 5 and this communication protocol flow between this relay system 72.This communication can be divided into three phases: related, examine and report to the police.At association phase, the BCU 78,80 relevant with thiswearable monitor 70 andrelay system 72 finds the other side respectively via this body coupled communication network.Send the discovery signal from thiswearable monitor 70 to this relay system 72.The checking secret key that exchange is shared between thiswearable monitor 70 andrelay system 72 is to set up secure communication between thiswearable monitor 70 and this relay system 72.Send the checking request signal from thiswearable monitor 70 to thisrelay system 72, and thisrelay system 72 returns a checking secret key signal to thiswearable monitor 70.

In this embodiment, thiswearable monitor 70 has two association phases with this relay system 72.At first, the BCU 78,80 ofwearable monitor 70 and I RC (not shown) couples together.Send correlation signal from thiswearable monitor 70 to thisrelay system 72 via body coupled communication, and return confirmation signal from thisrelay system 72 to thiswearable monitor 70 via body coupled communication.Secondly, between thiswearable monitor 70 and thisrelay system 72, set up and add RF and be connected.Send connection signal from thiswearable monitor 70 to thisrelay system 72 via RF.Thisrelay system 72 sends back to thiswearable monitor 70 with confirmation signal, is connected having set up RF between thiswearable monitor 70 and thisrelay system 72 with indication.

Examine to provide (body-coupled with RF) between thiswearable monitor 70 and thisrelay system 72 is connected the supervision of carrying out rule.If this body coupled communication or this RF connect and have communication failure, this system will be apprised of.Connecting for this body coupled communication or this RF, all is to send reception of signals from thiswearable monitor 70 to this relay system 72.Thisrelay system 72 returns to thiswearable monitor 70 with reception of signals, to examine communication.

Utilize this body coupled communication to be connected warning is provided with this RF.In thatwearable monitor 70 detects under the situation of ECG warning by this, a warning message is sent to this relay system 72.Except this alarm signal, can transmit the ECG data to this relay system 72.Body-coupled and these the two kinds of interconnection techniques of RF of parallel use are to guarantee connectivity.Utilize this body coupled communication to be connected with RF to come and send the ECG alarm signal from this wearable monitor 70.After thisrelay system 72 receives at least one ECG alarm signal of communicating by letter, from thisrelay system 72 external alarm signal is relayed to external module via cellular network.

In another version, thiswearable monitor 70 or this TU Trunk Unit 72 are used for that cell phone is connected near received signal any with being equipped with.Even so just guaranteed when this patient's cell phone unavailablely, for example battery is inoperative, is in when waiting outside the scope, and this Alarm Communication also can arrive the tele-medicine monitoring station.

The present invention has been described with reference to preferred embodiment.Reading and understanding on the basis of aforementioned detailed description, can occur revising and replacing.The invention is intended to be interpreted as comprising all these modifications and replacements in appended claims or its equivalent scope.

Claims (17)

1. wireless network that is used for monitored patient (10), this wireless network comprises:

At least one wearable monitor (12,70), it comprises:

Physiological condition sensor (34,74) is with patient coupling, with sensing and the communication data that physiological function is relevant with this patient (10); With

First body communication unit (16,78) is connected with this physiological condition sensor, communicates by this patient (10) to utilize the body-coupled agreement of near field capacitive; And

Relay system (14,50,72), it comprises:

Second body communication unit (18,52,80) is utilized the body-coupled agreement of this near field capacitive to receive and is communicated by letter from the data of this first body communication unit (16,78) and with this first body communication unit; With

External communications units (24,56,72), with the data communication that receives to the tele-medicine monitoring station,

Wherein, this relay system comprises cell phone, this cell phone comprises second body communication unit (18,52,80) and this external communications units (24,60,72), when this cell phone touch this patient or with the patient closely near the time described second body communication unit receive data with this body-coupled protocol transmission, described external communications units will utilize the data of body-coupled protocol transmission to arrive this tele-medicine monitoring station by cellular phone network communications

Wherein, this wearable monitor (12,70) comprises low-power radio frequency transmitter (82), and this cell phone comprises radio-frequency transmitter (84), when this second body communication unit (18) do not touch this patient or not with the patient closely near the time described radio-frequency transmitter directly receive physiological data from this wearable monitor.

2. according to the wireless network of claim 1, wherein this relay system (14,72) comprising: cell phone (24,60), personal digital assistant, pager and laptop computer one of them.

3. according to the wireless network of claim 1, this at least one wearable monitor (12,70) further comprises:

Alarm sensor (36,76) is connected with this physiological condition sensor (34,74), whether exceeds predetermined threshold value with the physiological situation that detects institute's sensing, and makes this first body communication unit (16,78) send out alarm signal.

4. according to the wireless network of claim 1, this wireless network further comprises:

Relay component (60), it receives from one of them data of this wearable monitor (12,70) and external communications units (56), and this transfer of data is arrived this remote monitoring stations.

5. according to the wireless network of claim 4, wherein the data that receive from one of wearable monitor and external communications units are via radio signal transmission.

6. according to the wireless network of claim 4, wherein this wireless network further comprises:

Identified component (54), it provides the unique patient's identifier that has the described data that receive from one of wearable monitor and external communications units.

7. according to the wireless network of claim 4, the data that this relay component (60) will broadcasting receives from one of wearable monitor and external communications units on one of them in cellular phone network and the Internet.

8. according to the wireless network of claim 1, this physiological condition sensor is movable one of them the pick off of sensing heart rate, pulse oximetry, breathing rate, blood pressure, temperature and electrocardiogram.

9. according to the wireless network of claim 1, wherein this external communications units (56) comprises the radio frequency sending set of emitting radio frequency signal, and further comprises:

Cellular phone unit, it comprises receiver (58) that receives this radiofrequency signal and the cell phone (60) that will be forwarded to this tele-medicine monitoring station on this cellular phone network via the data that this radiofrequency signal receives.

10. according to the wireless network of claim 1, wherein this external communications units (56) comprises the radio frequency sending set of emitting radio frequency signal, and further comprises:

The PDA unit, it comprises the receiver (58) that receives this radiofrequency signal and will be forwarded to the PDA of this tele-medicine monitoring station via the data that this radiofrequency signal receives on the internet.

11. wireless network according to claim 9 or 10, wherein this wearable monitor also comprises radio frequency sending set (82), and the unitary radio-frequency transmitter of this cellular phone unit or PDA receives the radiofrequency signal of being launched by the radio frequency sending set of the radio frequency sending set of external communications units and wearable monitor.

12. a method that is used for communication medical information in wireless network comprises:

Via with the physiological situation of patient (10) coupled pick off (34,74) monitored patient (10);

Via with the physiological situation relevant data of first body communication unit of utilizing capacitive body-coupled agreement near field to communicate (16,78) communication by this pick off (34,73) institute sensing by this patient (10);

By the direct data that receive from least one wearable monitor (12,70) in the second communication unit that utilizes the body-coupled agreement of this near field capacitive to communicate by letter with first body communication unit; And

With this received data communication to the tele-medicine monitoring station.

13. the method according to claim 12 further comprises:

Monitor the physiological situation data of institute's sensing, and exceed predetermined threshold and produce alarm signal in response to these physiological situation data of institute's sensing.

14. according to the method for claim 12, wherein the data that receive of signal post comprise:

On cellular phone network or the Internet, transmit received data.

15. according to the method for claim 12, wherein the data that receive of signal post comprise:

Radiofrequency signal is sent to the relay system of on the Internet or cellular phone network, transmitting these data.

16. the method according to claim 15 further comprises:

Utilize the relevant data of physiological situation of radio frequency protocol communication and institute's sensing; With

Use cell phone, receive this radio frequency protocol and this radiofrequency signal one of them, and transmit this data by this cellular phone network.

17. according to the method for claim 12, wherein this physiological situation be heart rate, pulse oximetry, breathing rate, blood pressure, temperature and electrocardiogram movable one of them.

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