CN201894779U - Remote monitoring system for implantable medical device - Google Patents

Abstract

The utility model discloses a remote monitoring system for an implantable medical device, which comprises the implantable medical device, a patient controller, a doctor program controller and a remote medical system, wherein the implantable medical device is implanted into the body of a patient. A multimedia electronic device at a patient terminal transmits video and/or audio information of the patient to a doctor by the aid of the remote medical system; the doctor uses the doctor program controller for transmitting monitoring information to the patient controller through a wireless remote communication network after analyzing the video and/or audio information and parameter information of the implantable medical device; and the patient controller transmits the received monitoring information to the implantable medical device to realize remote monitoring for the implantable medical device. Compared with the prior art, the remote monitoring system has the advantages that the remote monitoring for the implantable medical device can be realized while the patient do not need to arrive at a hospital by a long journey, therapeutic effects for the patient are improved greatly, the time of the doctor and the patient is saved, and the economic burden of the patient is relieved.

Description

The implantable medical devices long distance control system

Technical field

This utility model relates to implantable medical system field, especially implantable medical devices long distance control system.

Background technology

Implantable medical devices (MD) generally includes the implantable nerve electric stimulation and (comprises brain deep electricity irritation DBS, the implanted cortex stimulates CNS, implanted spinal cord stimulation trial SCS, implanted sacral nerves electricity irritation SNS, implanted vagus nerve electricity irritation VNS etc.), implantable cardiac electric stimulation (being commonly called as cardiac pacemaker), implanted drug infusion system (IDDS).

With the implantable nerve electric stimulation is example, mainly comprises the pulse generator, electrode and the external control device that implant.Wherein, pulse generator is connected with electrode, thereby the burst transmissions that pulse generator produced is arrived electrode, and the pulse signal that pulse generator produces transfers to heart by electrode or electricity irritation is carried out at specific neural position, thereby makes function of human body return to the state of normal operation.External control device comprises doctor's program controller, patient's controller.

Wherein, patient's controller is to be the device of being used for of being equipped with of patient according to the output parameter of pulse generator in own situation gauge tap or the control agent, and patient usually only can adjusting voluntarily in the range of accommodation that the doctor is provided with.Doctor's program controller is that the doctor is used for device according to the output parameter of pulse generator in the patient regulating and controlling body, and common doctor's program controller can be used to control a plurality of pulse generators.Patient's controller and doctor's program controller can communicate by wireless communications mode, magnetic coil or other communication modes and pulse generator.

In the implant surgery of pulse generator and in the therapeutic process after implanting, all need the paired pulses generator to carry out the adjustment of stimulus parameter, present program control process all be patient in face of the doctor, patient closely implemented and finish by the doctor.Because be limited to the restriction of the communication technology of the employed program control instrument of present implantable nerve electrical stimulation technology, patient's controller and stimulator for implantation, the communication distance of doctor's program control instrument, patient's controller and implantable pulse generator is generally in 10 meters.

Because patient comes back home behind the implantable neural electrical stimulation device, patient's family is often far away apart from hospital, distance does not wait from several kilometers even several thousand kilometers, patient gos to hospital to register to look for the program control or doctor of the doctor in charge to prevent or cure a disease, and the people location is program control all needs long distance, not only need spended time and money cost, increased the weight of the financial burden of patient family, gone back some seriously ill patient and be not suitable for long-distance travel.Therefore need a kind of doctor of making badly and can obtain the diagnostic messages such as parameter information of patient's audio frequency and video and implantable medical devices, thereby realize the implanted medical device long distance control system of the remote monitoring of medical apparatus and instruments that patient is implanted in hospital or doctor's diagnosis and treatment terminal station.

The utility model content

At the deficiencies in the prior art, the technical problems to be solved in the utility model provides a kind of implantable medical devices long distance control system, make patient need not that vessel is fatigued accepts the program control adjusting parameter of doctor to hospital, at home or the patient terminal website parameter information in audio frequency and video and the implanted medical device can be communicated by letter with doctor's doctor's program controller and terminal multi-media apparatus remote, realize the remote monitoring of implantable medical devices and the adjusting control of output parameter.

According to technical scheme provided by the utility model, a kind of implantable medical devices long distance control system comprises the intravital implantable medical devices of implant patient, patient's controller, doctor's program controller and Telemedicine System;

Described patient's controller and doctor's program controller are by the wireless telecommunications network two-way communication;

Described Telemedicine System comprises high-speed communicating network, by communication interface and the multimedia electronic equipment that described high-speed communicating network is connected, be used for remote transmission and display video and/or audio-frequency information between doctor's terminal and patient terminal;

The multimedia electronic equipment of described patient terminal is transferred to patient's video and/or audio information the multimedia electronic equipment of doctor's terminal by described Telemedicine System, described patient's controller directly is transferred to doctor's program controller with the parameter information of implantable medical devices by wireless telecommunications network, the doctor analyzes the back to above-mentioned diagnostic message and uses doctor's program controller through wireless telecommunications network monitor message to be transferred to patient's controller, and described patient's controller transfers to the remote monitoring of implantable medical devices realization to implantable medical devices with the monitor message that receives.

Preferably, described implantable medical devices comprises and is used for the first communication module of communicating by letter with patient's controller;

Described patient's controller comprises the first microprocessor module, be used for the second communication module of communicating by letter with described implantable medical devices and be used for first remote communication module with doctor's program controller telecommunication;

Described doctor's program controller comprises second microprocessor module, be used for the second remote radio communication module of communicating by letter with described patient's controller, and described second remote communication module is carried out two-way communication by the wireless telecommunications network and first remote communication module;

When described patient's controller and doctor's program controller wireless telecommunication, first remote communication module of described patient's controller is set up to communicate by letter with second remote communication module of doctor's program controller patient's controller is carried out data read and writes;

When described patient's controller was communicated by letter with implantable medical devices, the first communication module of described patient's controller was set up to communicate by letter with the second communication module of implantable medical devices implantable medical devices is carried out data read and writes.

Preferably, described first communication module and second communication module are the RF wireless communication module.

Preferably, described wireless telecommunications network is a kind of in cdma network, GSM network, 3G network, the GPRS network.

Preferably, high-speed communicating network is a kind of in wired telephone network, cable TV network, LAN, Metropolitan Area Network (MAN), wide area network, the Internet.

Preferably, described multimedia electronic equipment comprises photographic head that images acquired uses, display that pictorial display is used, gathers mike, the speaker of the usefulness that plays sound, multimedia memory device that sound is used, is separately positioned on patient terminal and doctor's terminal.

Preferably, the multimedia electronic equipment of described doctor's terminal also comprises the remote control unit of the control parameter that is used for remote control patient terminal photographic head.

Preferably, the video of remote transmission, audio-frequency information are the real time information or the information of having preserved between described doctor's terminal and the patient terminal.

Preferably, described implantable medical devices is embedded nerve stimulator, implantable cardiac pacemaker, implanted cardioverter-defibrillators or implanted infusion of drug device.

Compared with prior art the utility model has the advantages that: this utility model has utilized the Telemedicine System of having put up with high-speed communication and multimedia function, patient carries out the audio frequency and video bidirectional real-time the doctor of patient terminal website and doctor's point of termination station, after the doctor carries out diagnostic analysis to the parameter information of this audio/video information and implantable medical devices, by wireless telecommunications network doctor's program controller is directly set up communicates by letter with patient's controller, monitor message is transferred to patient's controller, patient's controller is also set up with implantable medical devices and is communicated by letter, the monitor message that receives is transferred to implantable medical devices, realize control is regulated in the remote monitoring and the output of implantable medical devices.

Therefore, when patient needs regular further consultation or program control adjusting, patient only need go to the point of termination station of the nearer Telemedicine System of leaving home, the transmission interaction of the parameter information by the audio frequency and video between patient and the doctor, implanted medical device and the programmable data of long-range doctor's program controller, the doctor can monitored patient's implantable medical devices at a distance, need not long-distance travel and can realize remote monitoring implantable medical devices to hospital, improve patient's therapeutic effect greatly, save doctor and patient's time, alleviated patient's financial burden.

Description of drawings

Accompanying drawing 1 is module principle figure of the present utility model;

Accompanying drawing 2 is the module principle figure of implantable medical devices of the present utility model;

Accompanying drawing 3 is the module principle figure of patient's controller of the present utility model;

Accompanying drawing 4 is the module principle figure of doctor's program controller of the present utility model;

Accompanying drawing 5 is a principle flow chart of the present utility model;

Wherein: 1, implantable medical devices; 11, first communication module; 2, patient's controller; 21, first microprocessor module; 22, second communication module; 23, first remote communication module; 3, doctor's program controller; 31, second microprocessor module; 32, the second remote radio communication module; 4, Telemedicine System; 41, high-speed communicating network; 42, multimedia electronic equipment; 5, wireless telecommunications network.

The specific embodiment

Below in conjunction with accompanying drawing this utility model is described in further detail:

With reference to Fig. 1, a kind of implantable medical devices long distance control system comprises the intravital implantablemedical devices 1 of implant patient, patient'scontroller 2, doctor'sprogram controller 3 andTelemedicine System 4.

Described patient'scontroller 2 passes throughwireless telecommunications network 5 two-way communications with doctor's program controller 3.Wireless telecommunications network 5 can be a kind of in cdma network, GSM network, 3G network, the GPRS network.

DescribedTelemedicine System 4 comprises high-speed communicating network 41, by communication interface and the multimediaelectronic equipment 42 that described high-speed communicating network 41 is connected, be used for remote transmission and display video and/or audio-frequency information between doctor's terminal and patient terminal.High-speed communicating network 41 can be a kind of in wired telephone network, cable TV network, LAN, Metropolitan Area Network (MAN), wide area network, the Internet.

Telemedicine System (Telemedicine) is successfully used in China at present, has solved the remote geographic people's such as western part medical demand.This Telemedicine System comprises functions such as expert's data management function, patient data managerial function, consultation of doctors reservation management.Expert's data management is meant that the essential information of collecting each expert and professional speciality etc. set up the consultation of doctors medical expert storehouse of certain scale, and the issue patients is selected on the website.Patient data management is meant management need hold a consultation patient's medical history information, patient's diagnostic message, comprises in real time or the image that prestores, audio/video information are given through suitable pretreatment and compression " propellings movement " and participated in the relevant expert who holds a consultation.This sophisticated Telemedicine System resource of having put up of utilizing this utility model realizes the audio frequency and video transmission between implant patient and the doctor, and whole system is simple and easy to do, cost is lower.

The multimediaelectronic equipment 42 of described patient terminal is transferred to patient's video and/or audio information the multimedia electronic equipment of doctor's terminal byTelemedicine System 4, described patient'scontroller 2 directly is transferred to doctor's program controller with the parameter information of implantablemedical devices 1 bywireless telecommunications network 5, and the parameter information of described patient's audio frequency and video and implantable medical devices is referred to as diagnostic message herein.The parameter information of described implantable medical devices comprises the output parameter information of implantablemedical devices 1 and information such as the electrode impedance that measures, battery dump energy.

The doctor analyzes the back to above-mentioned diagnostic message and uses doctor'sprogram controller 3 throughwireless telecommunications network 5 monitor message to be transferred to patient'scontroller 2, described patient'scontroller 2 transfers to implantablemedical devices 1 with the monitor message that receives, and realizes control is regulated in the teledata monitoring and the output of implantablemedical devices 1.

With reference to Fig. 2, implantablemedical devices 1 comprises that thefirst communication module 11, the microprocessor module that are used for communicating by letter with patient'scontroller 2 reach the power supply that power supply is provided for above-mentioned module, make its recovery make function of human body return to the state of normal operation thereby the output of implantablemedical devices 1 is used for the treatment of patient.

With reference to Fig. 3, patient'scontroller 2 comprisesfirst microprocessor module 21, be used for thesecond communication module 22 of communicating by letter with implantablemedical devices 1 and be used for firstremote communication module 23 of doctor'sprogram controller 3 telecommunications and the power supply of power supply is provided for above-mentioned module.

Second communication module 22 andfirst communication module 11 are the RF wireless communication module in the present embodiment, realize the two-way wireless communication of patient'scontroller 2 and implantablemedical devices 1, and 2 pairs of implantable medical devices of patient'scontroller 1 carry out data read or write.Certainly,first communication module 11 andsecond communication module 21 also can use other communication modes such as solenoid.

With reference to Fig. 4, the second remoteradio communication module 32 that doctor'sprogram controller 3 comprisessecond microprocessor module 31, be used for communicating by letter with patient'scontroller 2 and for above-mentioned module provides the power supply of power supply, described secondremote communication module 32 is carried out two-way communication by thewireless telecommunications network 5 and firstremote communication module 23.

When patient'scontroller 2 and doctor'sprogram controller 3 wireless telecommunications, secondremote communication module 32 of firstremote communication module 23 of patient'scontroller 2 and doctor'sprogram controller 3 is directly set up to communicate by letter patient's controller is carried out data read and writes.Wherein, the data that read comprise the output parameter information of implantablemedical devices 1 and information such as the electrode impedance that measures, battery dump energy, and above-mentioned data transfer to doctor'sprogram controller 3 by wireless telecommunications network 5.The data that write comprise monitoring that the doctor sends by doctor'sprogram controller 3 and the information of regulating implantablemedical devices 1 output parameter.

When patient'scontroller 2 was communicated by letter with implantablemedical devices 1, thefirst communication module 11 of patient'scontroller 2 was set up to communicate by letter with the second communication module of implantablemedical devices 1 22 implantablemedical devices 1 is carried out data read and writes.

Multimediaelectronic equipment 42 in the present embodiment comprises photographic head that the images acquired that is separately positioned on patient terminal and doctor's terminal uses, display that pictorial display is used, gathers mike, the speaker of the usefulness that plays sound, multimedia memory device that sound is used.Multimedia messages between doctor and the patient realizes that through high-speed communicating network 41 transmission the real-time interactive diagnosis of patient and doctor's audio frequency and video is program control.

The multimediaelectronic equipment 42 of described doctor's terminal also comprises the remote control unit of the control parameter that is used for remote control patient terminal photographic head.Remote control unit can be remote joystick, and control parameters such as the angle of adjusting patient terminal photographic head, focal length, position are to obtain the details audio frequency and video diagnostic message of more clear and multi-angle.

Therefore, when patient needs regular further consultation or program control adjusting, patient only need go to the point of termination station of the nearer Telemedicine System of leaving home, the transmission interaction of the parameter information by the audio frequency and video between patient and the doctor, implanted medical device and the programmable data of long-range doctor's program controller can monitored the doctor at a distance to patient's implantable medical devices.Compared with prior art, need not long-distance travel and can realize remote monitoring to implantable medical devices improving patient's therapeutic effect greatly, saved doctor and patient's time, alleviated patient's financial burden to hospital.

The video of remote transmission, audio-frequency information are the information of having preserved when falling ill before real time information or the patient between doctor's terminal and the patient terminal, are convenient to the doctor and more fully understand patient's state of an illness and correctly make diagnosis.

Implantable medical devices in this utility model can be embedded nerve stimulator, implantable cardiac pacemaker, implanted cardioverter-defibrillators or implanted infusion of drug device.

With reference to Fig. 5, a kind ofly use above-mentioned implantable medical devices long distance control system to carry out the method for remote monitoring, may further comprise the steps:

A: patient is transferred to doctor's program controller with diagnostic video/audio information by existing high-speed remote medical system 4 (Telemedicine), the parameter information of implantable medical devices is transferred to doctor's program controller by patient's controller and wireless telecommunications network, and the doctor carries out diagnostic analysis to described patient's the video/audio information and the parameter information of implantable medical devices; Here said parameter information comprises the set information and the metrical information of the multiple output parameter of implantable medical devices, as information such as electrode impedance measured value, battery remaining capacities.

B: the doctor uses doctor's program controller to set up with patient's controller bywireless telecommunications network 5 and communicates by letter, and monitor message is transferred to patient's controller;

C: described patient's controller is set up with implantable medical devices and is communicated by letter, and the monitor message that receives is transferred to implantable medical devices realize the remote monitoring and the output of implantable medical devices are regulated and control.

The multimediaelectronic equipment 42 that described TelemedicineSystem 4 comprises high-speed communicating network 41, is connected with described high-speed communicating network 41 by communication interface, multimediaelectronic equipment 42 comprise photographic head that the images acquired that is separately positioned on patient terminal and doctor's terminal uses, display that pictorial display is used, gather mike, the speaker of the usefulness that plays sound, multimedia memory device that sound is used.Multimedia messages between doctor and the patient realizes that through high-speed communicating network 41 transmission the real-time interactive diagnosis of patient and doctor's audio frequency and video is program control.

High-speed communicating network 41 can be a kind of in wired telephone network, cable TV network, LAN, Metropolitan Area Network (MAN), wide area network, the Internet.Wirelesstelecommunications network 5 can be a kind of in cdma network, GSM network, 3G network, the GPRS network, and described high-speed communicating network is a kind of in wired telephone network, cable TV network, LAN, Metropolitan Area Network (MAN), wide area network, the Internet.

The multimedia electronic equipment of described doctor's terminal also comprises the remote control unit of the control parameter that is used for remote control patient terminal photographic head and mike, as regulating angle, focal length, the position of photographic head.Remote control unit can be the stick that is used for remote control, comprises also that in steps A the doctor uses the step of stick collection patient multi-angle details audio frequency and video diagnostic message.

Video, the audio-frequency information of remote transmission can be real time information and also can be the diagnostic message of having preserved between described doctor's terminal and the patient terminal.

Implantable medical devices in the said method can be embedded nerve stimulator, implantable cardiac pacemaker, implanted cardioverter-defibrillators or implanted infusion of drug device, and wherein embedded nerve stimulator can be applicable in implanted brain deep electric stimulation, implanted cortex electric stimulation, implanted spinal cord stimulation trial system, implanted sacral nerves electric stimulation or the implanted vagus nerve electric stimulation.

This utility model also can have other various embodiments; under the situation that does not deviate from this utility model spirit and essence; those skilled in the art can make various corresponding changes and distortion according to this utility model, but these corresponding changes and distortion all should belong to the scope of claim protection of the present utility model.

Claims (9)

1. an implantable medical devices long distance control system is characterized in that: comprise the intravital implantable medical devices of implant patient, patient's controller, doctor's program controller and Telemedicine System;

Described patient's controller and doctor's program controller are by the wireless telecommunications network two-way communication;

Described Telemedicine System comprises high-speed communicating network, by communication interface and the multimedia electronic equipment that described high-speed communicating network is connected, be used for remote transmission and display video and/or audio-frequency information between doctor's terminal and patient terminal;

The multimedia electronic equipment of described patient terminal is transferred to patient's video and/or audio information the multimedia electronic equipment of doctor's terminal by described Telemedicine System, described patient's controller directly is transferred to doctor's program controller with the parameter information of implantable medical devices by wireless telecommunications network, the doctor analyzes the back to above-mentioned diagnostic message and uses doctor's program controller through wireless telecommunications network monitor message to be transferred to patient's controller, and described patient's controller transfers to the remote monitoring of implantable medical devices realization to implantable medical devices with the monitor message that receives.

2. implantable medical devices long distance control system according to claim 1 is characterized in that: described implantable medical devices comprises and is used for the first communication module of communicating by letter with patient's controller;

Described patient's controller comprises the first microprocessor module, be used for the second communication module of communicating by letter with described implantable medical devices and be used for first remote communication module with doctor's program controller telecommunication;

Described doctor's program controller comprises second microprocessor module, be used for the second remote radio communication module of communicating by letter with described patient's controller, and described second remote communication module is carried out two-way communication by the wireless telecommunications network and first remote communication module;

When described patient's controller and doctor's program controller wireless telecommunication, first remote communication module of described patient's controller is set up to communicate by letter with second remote communication module of doctor's program controller patient's controller is carried out data read and writes;

When described patient's controller was communicated by letter with implantable medical devices, the first communication module of described patient's controller was set up to communicate by letter with the second communication module of implantable medical devices implantable medical devices is carried out data read and writes.

3. implantable medical devices long distance control system according to claim 2 is characterized in that: described first communication module and second communication module are the RF wireless communication module.

4. according to claim 1 or 2 or 3 described implantable medical devices long distance control systems, it is characterized in that: described wireless telecommunications network is a kind of in cdma network, GSM network, 3G network, the GPRS network.

5. implantable medical devices long distance control system according to claim 1 is characterized in that: described high-speed communicating network is a kind of in wired telephone network, cable TV network, LAN, Metropolitan Area Network (MAN), wide area network, the Internet.

6. implantable medical devices long distance control system according to claim 4, it is characterized in that: described multimedia electronic equipment comprises photographic head that images acquired uses, display that pictorial display is used, gathers mike, the speaker of the usefulness that plays sound, multimedia memory device that sound is used, is separately positioned on patient terminal and doctor's terminal.

7. implantable medical devices long distance control system according to claim 6 is characterized in that: the multimedia electronic equipment of described doctor's terminal also comprises the remote control unit of the control parameter that is used for remote control patient terminal photographic head.

8. implantable medical devices long distance control system according to claim 7 is characterized in that: the video of remote transmission, audio-frequency information are the real time information or the information of having preserved between described doctor's terminal and the patient terminal.

9. according to claim 1 or 2 or 3 described implantable medical devices long distance control systems, it is characterized in that: described implantable medical devices is embedded nerve stimulator, implantable cardiac pacemaker, implanted cardioverter-defibrillators or implanted infusion of drug device.

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