一、技术领域1. Technical field
本实用新型涉及一种人体健康远程记录、监护和诊断系统和方法，尤其是可扩展的人体心电等生理指标的远程记录、监护和诊断系统。The utility model relates to a system and method for remote recording, monitoring and diagnosing human health, in particular to an expandable remote recording, monitoring and diagnosing system for physiological indicators such as human body electrocardiogram.
二、背景技术2. Background technology
CN102940487A一种运动状态下的心电无线远程检测系统，由弹性带、装载有心电分析软件的外部数据处理设备、装载有心电数据库的远程服务器构成；所述弹性带上安装有若干电极和一个主控模块，所述电极采用金属纤维编织而成或采用导电橡胶制成，电极与主控模块之间用埋藏在弹性带内部的导线连接；所述主控模块包括心电信号放大电路、模数转换电路及蓝牙电路，心电信号放大电路对电极检测到的人体表面信号进行放大、滤波，提取出心电信号，心电信号经模数转换电路转换成心电数据，蓝牙电路将心电数据无线发送到外部数据处理设备；所述外部数据处理设备安装有配套的心电分析软件，通过心电分析软件中的设置向导与主控模块内的蓝牙电路进行配对连接；外部数据处理设备通过心电分析软件启动心电信号的采集，并对接收到的心电数据进行分析处理、显示、本地保存和无线上传远程服务器；所述远程服务器运行心电数据库，接收上传的心电数据，实现心电数据的远程保存、统计分析和在线监护。CN102940487A An electrocardiogram wireless remote detection system in an exercise state is composed of an elastic band, an external data processing device loaded with electrocardiogram analysis software, and a remote server loaded with an electrocardiogram database; several electrodes and a main body are installed on the elastic band control module, the electrodes are braided by metal fibers or made of conductive rubber, and the electrodes and the main control module are connected by wires buried inside the elastic band; the main control module includes an electrocardiogram signal amplifying circuit, a Conversion circuit and bluetooth circuit, the electrocardiographic signal amplification circuit amplifies and filters the human body surface signal detected by the electrode, extracts the electrocardiographic signal, converts the electrocardiographic signal into electrocardiographic data through the analog-to-digital conversion circuit, and the bluetooth circuit converts the electrocardiographic data Wirelessly send to external data processing equipment; The external data processing equipment is equipped with supporting electrocardiogram analysis software, and is paired with the bluetooth circuit in the main control module through the setting wizard in the electrocardiogram analysis software; The electrical analysis software starts the collection of ECG signals, and analyzes, processes, displays, locally saves and wirelessly uploads the received ECG data to the remote server; the remote server operates the ECG database, receives the uploaded ECG data, and realizes ECG Remote storage, statistical analysis and online monitoring of electrical data.
CN103720469A一种可穿戴式动态母体胎儿心电检测装置，包括以下部分：(1)心电信号检测模块：包括依次连接的心电电极、低通滤波器、高通滤波器、工频陷波器和信号放大电路，与模拟数字转换模块连接，用于采集孕妇的心电信号，并完成信号的滤波、去噪和放大；(2)模拟数字转换模块：与微处理器连接，用于实现模拟信号到数字信号的转换；(3)数据存储卡：与微处理器连接，用于存储孕妇心电信号，同时根据预先设定的存储频率存储生成的母体胎儿心电信息棒；(4)无线通讯模块：与微处理器连接，将生成的母体胎儿心电信息棒无线传输至医院或者监护中心；(5)微处理器：与模拟数字转换模块、数据存储卡和无线通讯模块连接，用于心电信号的实时分析、数据存储与通迅控制，完成心电信号质量评估、母体心电信号处理、胎儿心电信号处理和生成母体胎儿心电信息棒；孕妇心电信号首先进入心电信号检测模块，然后进入模拟数字转换模块，经模拟数字转换后进入T秒固定时间窗口长度的信号堆栈，该堆栈每T/2秒更新一次，新采集的T/2秒信号入栈，最早采集到的T/2秒信号出栈，保证前后两次处理的T秒心电信号片段存在50％重叠，从而保证可以得到连续的心电特征信息，避免T秒心电信号片段首尾特征信息无法检测造成的信息遗漏；对从信号堆栈出来的T秒心电信号片段首先进行心电信号质量评估，然后依次完成母体心电信号处理、胎儿心电信号处理和生成母体胎儿心电信息棒。CN103720469A A wearable dynamic maternal fetal ECG detection device, comprising the following parts: (1) ECG signal detection module: comprising sequentially connected ECG electrodes, a low-pass filter, a high-pass filter, a power frequency notch filter and The signal amplification circuit is connected with the analog-to-digital conversion module, used to collect the ECG signal of pregnant women, and completes the filtering, denoising and amplification of the signal; (2) the analog-to-digital conversion module: connected with the microprocessor, used to realize analog signal Conversion to digital signal; (3) data storage card: connected with the microprocessor, used to store the pregnant woman’s ECG signal, and store the generated maternal fetal ECG information stick according to the preset storage frequency; (4) wireless communication Module: connected to the microprocessor, wirelessly transmits the generated maternal fetal ECG information stick to the hospital or monitoring center; (5) Microprocessor: connected to the analog-to-digital conversion module, data storage card and wireless communication module, used for cardiac Real-time analysis of electrical signals, data storage and communication control, complete ECG signal quality assessment, maternal ECG signal processing, fetal ECG signal processing and generation of maternal fetal ECG information stick; pregnant women's ECG signals first enter the ECG signal detection module, and then enter the analog-to-digital conversion module. After the analog-to-digital conversion, it enters the signal stack with a fixed time window length of T seconds. The stack is updated every T/2 seconds. The newly collected T/2 second signal is pushed into the stack. The earliest collected The T/2 second signal is popped out of the stack to ensure that there is a 50% overlap between the T second ECG signal segments before and after the two processing, so as to ensure that continuous ECG feature information can be obtained, and avoid the undetectable first and last feature information of the T second ECG signal segment. Omission of information; firstly evaluate the quality of the ECG signal for the T-second ECG signal segment from the signal stack, and then complete the maternal ECG signal processing, fetal ECG signal processing and generation of maternal fetal ECG information sticks in sequence.
动态心电(Holter)是记录患者日常活动和安静状态下的心电图，时间一般为24小时。目前的技术是：记录完成后，心电信号才返回到医生或分析人员手里，由医生或分析人员使用专业软件回顾式分析查看记录到的心电图信号并进行分析、统计等，形成诊断报告；对于患者记录过程出现的症状等也只能先以日志的形式手动记录下来，待心电记录完成后由医生对照大概的时间段翻阅心电图。Holter is to record the patient's daily activities and the electrocardiogram in a quiet state, and the time is generally 24 hours. The current technology is: after the recording is completed, the ECG signal is returned to the doctor or analyst, and the doctor or analyst uses professional software to retrospectively analyze the recorded ECG signal and perform analysis and statistics to form a diagnosis report; Symptoms that occur during the patient’s recording process can only be recorded manually in the form of a log. After the ECG recording is completed, the doctor will review the ECG for an approximate time period.
心电事件监测记录仪(Event Monitor)是一种片段式的心电记录仪。它不像动态心电那样进行全程记录，而只在自动检测到异常事件时记录片段心电图，或者由患者在感觉到明显症状时按下记录仪上的事件按钮来记录片段心电图，并将记录的心电图片段传输到监控中心，由值守医务人员判断心电图情况，并在必要时通过电话给予患者一定的指导。The ECG event monitoring recorder (Event Monitor) is a segmented ECG recorder. It does not record the whole process like dynamic ECG, but only records segmental ECG when abnormal events are automatically detected, or the patient presses the event button on the recorder to record segmental ECG when he feels obvious symptoms, and the recorded The electrocardiogram segment is transmitted to the monitoring center, and the on-duty medical staff judges the electrocardiogram situation, and gives certain guidance to the patient by phone if necessary.
心电遥测(MCT)是中央监护系统的一种变形，一般通过局域无线网络或移动电话网络传输采集到的患者心电图，使得佩戴遥测心电记录仪的患者可以在正常的日常活动中得到监测。Cardiac telemetry (MCT) is a variant of the central monitoring system, which generally transmits the collected patient's ECG through a local wireless network or mobile phone network, so that patients wearing a telemetry ECG recorder can be monitored during normal daily activities .
市面上现有的产品基本都是具有单一功能的产品，即没有把动态心电、异常事件监测和心电遥测三种功能合为一体的产品。尽管心电远程监护技术的进展很大，但开发一些智能判断功能仍有必要；且现有技术中的人体心电的远程监护乃至诊断系统并不能完全满足一些包括老年常见病的特殊用户，如有心脑等疾病的被监护者需要除心电信息外的其它生理信息(扩展人体健康信息)的远程记录、监护和诊断系统及相关方法。The existing products on the market are basically products with a single function, that is, there is no product that integrates the three functions of dynamic ECG, abnormal event monitoring and ECG telemetry. Although the ECG remote monitoring technology has made great progress, it is still necessary to develop some intelligent judgment functions; and the remote monitoring and diagnosis system of the human ECG in the prior art cannot fully satisfy some special users including common diseases of the elderly, such as People under guardianship who have heart and brain diseases need remote recording, monitoring and diagnosis systems and related methods of physiological information (extended human health information) other than electrocardiographic information.
三、实用新型内容3. Contents of utility model
本实用新型的目的是，提出一种可扩展的人体健康远程记录、监护和诊断系统及相关方法，满足一些包括患有慢性病、老年常见病以及需要其它监护信息和健康信息的用户的需求，被监护者的心电信息及其它扩展人体健康信息能够被远程记录。The purpose of this utility model is to propose an expandable human health remote recording, monitoring and diagnosis system and related methods to meet the needs of users who suffer from chronic diseases, common diseases of the elderly and need other monitoring information and health information. The guardian's ECG information and other extended human health information can be recorded remotely.
本实用新型的技术方案是，一种可扩展的人体健康远程记录、监护和诊断系统，包括人体心电远程记录、监测和诊断装置及基于云服务器的存储和远程监护、诊断、分析报告等软件模块。所述装置为佩戴式监测记录仪，包括心电测量电极、心电信号模块、存储器和微处理器、通讯模块。心电测量电极得到的心电信号通过心电信号模块1的预处理及采样后，送微处理器10分析处理，并存储在存储器9中，微处理器10通过通讯模块12与云服务器的数据库20联系；即经通讯模块12以无线方式(3G、4G或WiFi等无线数据网络，定时、完整地)上传到云服务器(数据库20)；云服务器设有终端，设有(供医务人员、健康专家或其他专业人员使用)分析软件21、监护软件22、医生软件23模块，对人体的心电信号进行远程分析诊断和实时监测。The technical scheme of the utility model is an expandable human health remote recording, monitoring and diagnosis system, including a human body ECG remote recording, monitoring and diagnosis device and cloud server-based storage and remote monitoring, diagnosis, analysis report and other software module. The device is a wearable monitoring recorder, comprising electrocardiographic measuring electrodes, an electrocardiographic signal module, a memory, a microprocessor and a communication module. After the electrocardiographic signal obtained by the electrocardiographic measuring electrodes is preprocessed and sampled by the electrocardiographic signal module 1, it is sent to the microprocessor 10 for analysis and processing, and stored in the memory 9. The microprocessor 10 communicates with the database of the cloud server through the communication module 12 20 contact; upload to cloud server (database 20) via communication module 12 wirelessly (wireless data networks such as 3G, 4G or WiFi, regularly and completely); cloud server is provided with terminal, is provided with (for medical staff, health Experts or other professionals use) analysis software 21, monitoring software 22, and doctor software 23 modules to carry out remote analysis, diagnosis and real-time monitoring of the ECG signals of the human body.
所述佩戴式监测记录仪包括动态心电监护(Holter)、异常事件监测(EventMonitor)和移动心电遥测(MCT)三种软件模块(功能)；因此所述人体心电远程记录、监测和诊断装置是动态心电监护(Holter)、异常事件监测(Event Monitor)和移动心电遥测(MCT)三种功能合在一体的佩戴式监测记录仪(仪器)。The wearable monitoring recorder includes three software modules (functions) of dynamic ECG monitoring (Holter), abnormal event monitoring (EventMonitor) and mobile ECG telemetry (MCT); therefore, the human ECG remote recording, monitoring and diagnosis The device is a wearable monitoring recorder (instrument) that integrates three functions of dynamic ECG monitoring (Holter), abnormal event monitoring (Event Monitor) and mobile ECG telemetry (MCT).
异常事件监测模块中，微处理器10可判断多种人体健康异常事件，包括但不限于：心律失常、心肌梗塞、心力衰竭、频繁早搏、心房颤动、脑中风及血氧、血压和血糖的异常等。当遇到这些异常事件时，本仪器会立即发送紧急信号到云服务器20，同时把相应的监测波形和监测值以优先方式实时传送到云服务器20，以便监测人员立即查看。In the abnormal event monitoring module, the microprocessor 10 can judge a variety of abnormal human health events, including but not limited to: arrhythmia, myocardial infarction, heart failure, frequent premature beats, atrial fibrillation, stroke and blood oxygen, blood pressure and blood sugar abnormalities wait. When encountering these abnormal events, the instrument will immediately send an emergency signal to the cloud server 20, and simultaneously transmit the corresponding monitoring waveforms and monitoring values to the cloud server 20 in a priority manner in real time, so that monitoring personnel can check immediately.
紧急信号启动云服务器20终端的紧急应对和相应工作，云服务器20终端安排有专业监测人员每天24小时监控，必要时通知急救机构。急救机构可以从云服务器20下载有关的数据。The emergency signal starts the emergency response and corresponding work of the cloud server 20 terminal, and the cloud server 20 terminal is arranged to be monitored by professional monitoring personnel 24 hours a day, and the emergency agency is notified when necessary. Emergency services can download relevant data from the cloud server 20 .
出现异常事件时，佩戴式监测记录仪(仪器)本身也有警报装置11发出声光信号。设有按键和显示器，显示器可用于异常事件的表达，也可用于对仪器进行设置。When an abnormal event occurs, the wearable monitoring recorder (instrument) itself also has an alarm device 11 to send an acousto-optic signal. Equipped with keys and display, the display can be used to express abnormal events and also be used to set the instrument.
微处理器10同时设有无线或有线的通信扩展接口5，用于集成心电信号外的其它人体生理信号或数据(包括但不限于血氧、血压、血糖、体温、体重、指纹等一种或多种)，用于对人体的其它生理参数(比如血氧、血糖、血压、体温、体重等)进行采集、监测和分析。其它人体生理信号或数据(包括但不限于血氧、血压、血糖、体温、体重、指纹)可以通过有线或无线(如蓝牙、ZIGBEE等)方式与微处理器通信扩展接口联接。The microprocessor 10 is also equipped with a wireless or wired communication expansion interface 5, which is used to integrate other human physiological signals or data (including but not limited to blood oxygen, blood pressure, blood sugar, body temperature, body weight, fingerprints, etc.) Various), used to collect, monitor and analyze other physiological parameters of the human body (such as blood oxygen, blood sugar, blood pressure, body temperature, body weight, etc.). Other human physiological signals or data (including but not limited to blood oxygen, blood pressure, blood sugar, body temperature, body weight, fingerprints) can be connected to the microprocessor communication expansion interface through wired or wireless (such as Bluetooth, ZIGBEE, etc.).
本实用新型中由微处理器10等系统模块构成的佩戴式监测记录仪还设有全球定位模块6和互动通讯模块8。这些模块的数据都经微处理器处理后传送到云服务器。全球定位模块6用于定位人体的具体位置，方便急救机构的工作；互动通讯模块用于被监测人与云服务器的监测人员或医务人员进行视频、语音或文字的沟通，实现运程互动功能。微处理器10同时设有姿态监测模块7，用于监测人体的运动状态或人体的位置，及时判别人体是否跌倒，并可监测人体的运动量(跑步、散步等)。同时设有姿态监测模块或位置模块，用于监测人体的运动状态或身体位置状态，监测人体的运动量。In the utility model, the wearable monitoring recorder composed of system modules such as the microprocessor 10 is also provided with a global positioning module 6 and an interactive communication module 8 . The data of these modules are all processed by the microprocessor and sent to the cloud server. The global positioning module 6 is used to locate the specific position of the human body to facilitate the work of emergency agencies; the interactive communication module is used for video, voice or text communication between the monitored person and the monitoring personnel or medical personnel of the cloud server to realize the interactive function of fortune. Microprocessor 10 is provided with posture monitoring module 7 simultaneously, is used for monitoring the motion status of human body or the position of human body, judges whether human body falls down in time, and can monitor the amount of exercise of human body (running, walking etc.). At the same time, there is an attitude monitoring module or a position module, which is used to monitor the movement state or body position state of the human body, and monitor the amount of movement of the human body.
人体的心电信号、血氧、血糖、血压、体温、体重等指标将永久存储在云服务器20的数据库中，专业人员可以随时从云服务器20下载相关数据进行分析、诊断，并作出报告。分析诊断报告亦上传到云服务器20永久存储，供专业人员在线或离线查看患者的多种生理数据。The ECG signal, blood oxygen, blood sugar, blood pressure, body temperature, weight and other indicators of the human body will be permanently stored in the database of the cloud server 20, and professionals can download relevant data from the cloud server 20 at any time for analysis, diagnosis, and report. The analysis and diagnosis report is also uploaded to the cloud server 20 for permanent storage, for professionals to check various physiological data of the patient online or offline.
本申请要实现一种具有人体心电及其他生理参数(比如血氧、血糖、血压、体温、体重等)的采集、存储、实时或准实时监测分析和实时或准实时无线传输功能的佩戴式监测记录仪，以及实现具有网络传输管理、数据存储、心电监护、异常事件监测、远程分析、诊断、报告等功能的多用户分布式的应用。This application intends to realize a wearable device with functions of collection, storage, real-time or quasi-real-time monitoring and analysis, and real-time or quasi-real-time wireless transmission functions of human ECG and other physiological parameters (such as blood oxygen, blood sugar, blood pressure, body temperature, body weight, etc.). Monitoring recorder, and multi-user distributed application with network transmission management, data storage, ECG monitoring, abnormal event monitoring, remote analysis, diagnosis, reporting and other functions.
利用本实用新型所述的系统进行人体生理参数远程记录、监护和诊断方法，当无异常事件发生时，佩戴式监测记录仪在预设的时间点向基于云服务的数据库传送心电信号外的其他人体生理信号；即正常工作状态时按周期传输心电信号及其他人体生理信号到云服务器，全面、完整地存储了人体的心电信号及其他人体生理信号，以便后续分析。当佩戴式监测记录仪检测到异常事件(包括但不限于心肌梗塞、心力衰竭、频繁早搏、心房颤动、脑中风及血氧、血压和血糖的异常等)或由患者在感觉到明显症状时按下记录仪上的事件按钮时，佩戴式监测纪录仪立即发送紧急信号到云服务器，并把相应的监测波形、监测值和患者的位置信息以优先方式实时传送到云服务器。出现异常事件时，佩戴式监测记录仪(仪器)本身也有警报装置发出声光信号。Using the system described in the utility model to carry out remote recording, monitoring and diagnosis of human physiological parameters, when no abnormal event occurs, the wearable monitoring recorder transmits ECG signals to the database based on cloud services at preset time points. Human physiological signals; that is, the ECG signals and other human physiological signals are periodically transmitted to the cloud server during normal working conditions, and the human ECG signals and other human physiological signals are stored comprehensively and completely for subsequent analysis. When the wearable monitoring recorder detects abnormal events (including but not limited to myocardial infarction, heart failure, frequent premature beats, atrial fibrillation, stroke and abnormal blood oxygen, blood pressure and blood sugar, etc.) When the event button on the recorder is pressed, the wearable monitoring recorder immediately sends an emergency signal to the cloud server, and transmits the corresponding monitoring waveform, monitoring value and patient's location information to the cloud server in real time with priority. When an abnormal event occurs, the wearable monitoring recorder (instrument) itself also has an alarm device to send out sound and light signals.
利用本实用新型所述的系统进行长达30天或更久的不间断的心电监护、异常事件监测和异常事件记录时，医生可定期给出远程分析、诊断报告，分析诊断报告亦上传到云服务器，并由云服务器保存所述报告和异常事件记录。When using the system described in the utility model to carry out uninterrupted ECG monitoring, abnormal event monitoring and abnormal event recording for 30 days or longer, the doctor can regularly give remote analysis and diagnosis reports, and the analysis and diagnosis reports are also uploaded to cloud server, and the cloud server saves the report and abnormal event records.
本实用新型的有益效果：本实用新型集动态心电(Holter)、心电事件检测记录仪(Event Monitor)和心电遥测(MCT)这三种产品的优势于一体，同时对原来的技术进行了改进及扩展，集成了可选的附加生理参数，增加了可检测异常事件的范围，使得系统功能更加强大和实用，扩展了产品的使用范围，特别适用于对慢性病患者、严重传染病患者、老年病患和孤寡老人的远程监护与日常健康管理，有效降低他们去医院看病的频率、提供他们的生活质量、及时发现需要急诊抢救的病患。Beneficial effects of the utility model: the utility model integrates the advantages of the three products of dynamic ECG (Holter), ECG event detection recorder (Event Monitor) and ECG telemetry (MCT), and simultaneously improves the original technology. It has been improved and expanded, and optional additional physiological parameters are integrated, which increases the range of detectable abnormal events, makes the system more powerful and practical, and expands the scope of use of the product, especially suitable for patients with chronic diseases, severe infectious diseases, The remote monitoring and daily health management of elderly patients and widowed elderly can effectively reduce the frequency of their visits to the hospital, improve their quality of life, and detect patients in need of emergency treatment in a timely manner.
1、灵活的模式设置，一机多用。本实用新型系统可以设置不同的工作模式(动态心电、事件记录或远程心电遥测)及其组合，方便患者、减少医护人员工作量。而且，它不但可以作为独立的心电功能的设备使用，也可以将心电及涉及其它生理参数的功能任意组合使用，增加了应用范围，特别适用于对慢性病患者和老年病患的远程监护与日常健康管理。1. Flexible mode setting, one machine with multiple functions. The system of the utility model can be set with different working modes (dynamic electrocardiogram, event record or remote electrocardiogram telemetry) and combinations thereof, which is convenient for patients and reduces the workload of medical staff. Moreover, it can not only be used as an independent device with ECG function, but also can be used in any combination of ECG and functions related to other physiological parameters, which increases the scope of application, and is especially suitable for remote monitoring and monitoring of patients with chronic diseases and elderly patients. Daily health management.
2、集成除心电图之外的其他生理参数或数据。灵活的有线或无线通信接口，开放式的系统架构，可以方便集成其他生理参数和数据，使得监测的生理参数或数据更多，使用范围更广，远程的医护人员决策更有把握。2. Integrate other physiological parameters or data except ECG. The flexible wired or wireless communication interface and open system architecture can facilitate the integration of other physiological parameters and data, so that more physiological parameters or data can be monitored, the scope of use is wider, and the decision-making of remote medical staff is more confident.
3、灵活的网络支持，真正的远程监护。3G/4G/WiFi网络可以灵活配置，提供广域范围的监护，病人活动不再受限。3. Flexible network support, real remote monitoring. The 3G/4G/WiFi network can be flexibly configured to provide wide-area monitoring, and the patient's activities are no longer restricted.
4、记录时长达30天或更久，并将完整心电数据不间断地记录在记录仪中，同时实时或定时传输到远程的监控中心。4. The recording time is as long as 30 days or more, and the complete ECG data is recorded in the recorder without interruption, and it is transmitted to the remote monitoring center in real time or at regular intervals.
5、完整心电信号的实时/准实时上传，使监测与诊断更及时、迅速、准确。5. Real-time/quasi-real-time upload of complete ECG signals, making monitoring and diagnosis more timely, rapid and accurate.
6、心律失常及其它异常事件的智能识别及上报(有医院背景的云服务器的专业支持)。本系统不但支持传统的由用户按钮触发的事件心电片段传输机制(优先传输)，还内置实时心律失常识别算法和其它异常事件识别算法，用于识别常见的心律失常事件和其它异常事件，并及时上报远程的监控中心，仪器同时发出声光警报，并具有急救报警和指引施救地点的功能。6. Intelligent identification and reporting of arrhythmia and other abnormal events (professional support from cloud servers with hospital background). This system not only supports the traditional event ECG segment transmission mechanism (priority transmission) triggered by the user button, but also has built-in real-time arrhythmia identification algorithm and other abnormal event identification algorithm for identifying common arrhythmia events and other abnormal events, and Report to the remote monitoring center in time, and the instrument will send out sound and light alarms at the same time, and has the functions of emergency alarm and guiding the rescue location.
7、特有的患者姿态识别及定位功能。本系统除了监测记录患者心电图和其它可选生理参数外，还可以识别患者的姿态(如跌倒)和活动状态并提供运动量统计等，辅以全球定位系统提供的位置信息，并将有关信息实时上传到监控中心，为远程值守人员采取必要的急救措施提供依据。而且还可以统计患者的运动量，为医护人员给患者开出运动处方提供科学的依据。7. Unique patient posture recognition and positioning functions. In addition to monitoring and recording the patient's electrocardiogram and other optional physiological parameters, the system can also identify the patient's posture (such as falling) and activity status and provide exercise statistics, supplemented by the location information provided by the global positioning system, and upload relevant information in real time Go to the monitoring center to provide a basis for the remote on-duty personnel to take necessary first aid measures. Moreover, it can also count the amount of exercise of patients, providing a scientific basis for medical staff to prescribe exercise to patients.
8、完善的云服务网络，不但实现远程监护，还为远程会诊等提供支持，可能形成电子病历的组成部分，云服务器专家支持的智能诊断的阶段结论均可以有效的应用于对被监护者的诊疗分析。8. A complete cloud service network not only realizes remote monitoring, but also provides support for remote consultation, etc., which may form an integral part of electronic medical records. The stage conclusions of intelligent diagnosis supported by cloud server experts can be effectively applied to the care of the ward. Diagnostic analysis.
9、具有多媒体互动功能，病人可以通过本仪器与远程专业人员进行视频、语音和文字沟通，接收其疾病管理方案和日常健康管理建议。9. With multimedia interactive function, patients can communicate with remote professionals through video, voice and text through this instrument, and receive their disease management plan and daily health management suggestions.
四、附图说明4. Description of drawings
图1是本申请的原理框图。Fig. 1 is a functional block diagram of the present application.
图2是本申请的实施方案示意图。Figure 2 is a schematic diagram of an embodiment of the present application.
图3和图4是实现本实用新型的服务器功能框图及软件结构示意图。Fig. 3 and Fig. 4 are functional block diagrams and software structural diagrams of the server realizing the utility model.
五、具体实施方式5. Specific implementation
图1中的系统分为两个部分，左侧框图包含的部分是佩戴式监测记录仪(仪器)。The system in Figure 1 is divided into two parts, the part contained in the block diagram on the left is the wearable monitoring recorder (instrument).
人体佩戴图1中的佩戴式监测记录仪，其心电信号通过心电模块1的预处理及采样后，送微处理器10分析处理，并存储在内部存储器9中，再经通讯模块12以无线方式(3G、4G等无线数据网络，或WiFi)定时、完整地上传到云服务器20的数据库；医务人员、健康专家或其他专业人员可以使用分析软件21、监护软件22、医生软件23，对人体的心电信号进行远程分析诊断和实时监测。同时，其可选的附加生理参数测量进一步扩展了产品的使用范围。The human body wears the wearable monitoring recorder in Figure 1, and its ECG signal is sent to the microprocessor 10 for analysis and processing after being preprocessed and sampled by the ECG module 1, and stored in the internal memory 9, and then passed through the communication module 12 to Wireless mode (wireless data networks such as 3G, 4G, or WiFi) is regularly and completely uploaded to the database of cloud server 20; The ECG signal of the human body is analyzed and diagnosed remotely and monitored in real time. At the same time, its optional additional physiological parameter measurement further expands the scope of use of the product.
在微处理器10及其内置软件(固件)的支持下，仪器具有人体出现异常事件(例如心肌梗塞、心力衰竭、频繁早搏、心房颤动、脑中风及血氧、血压和血糖的异常等)的判别功能。当遇到这些异常事件或由用户按钮触发的事件时，本仪器会立即发送紧急信号到云服务器20，并把相应的监测波形、监测值和人体的位置信息以优先方式实时传送到云服务器20。云服务器20安排有专业人员每天24小时监控，必要时通知急救机构。急救机构可以从云服务器20下载有关的数据。出现异常事件时，仪器本身也有警报装置11发出声光信号。按键和显示11可用于异常事件的表达，也可用于对仪器进行设置。Under the support of the microprocessor 10 and its built-in software (firmware), the instrument has abnormal events (such as myocardial infarction, heart failure, frequent premature beats, atrial fibrillation, cerebral apoplexy and abnormal blood oxygen, blood pressure and blood sugar, etc.) discriminant function. When encountering these abnormal events or events triggered by user buttons, the instrument will immediately send an emergency signal to the cloud server 20, and transmit the corresponding monitoring waveforms, monitoring values and human body position information to the cloud server 20 in real time with priority . The cloud server 20 is arranged to be monitored by professionals 24 hours a day, and the emergency agency is notified when necessary. Emergency services can download relevant data from the cloud server 20 . When an abnormal event occurs, the instrument itself also has an alarm device 11 to send out sound and light signals. The keys and display 11 can be used to express abnormal events, and can also be used to set the instrument.
人体的心电信号是该仪器的核心信号，经心电模块1预处理及采样后被直接传输到微处理器10作处理、分析及存储。该佩戴式监测记录仪还包括预置的有线或无线通讯模块5，用于可选的扩展生理参数(血压、血糖、血氧、体温、体重、指纹等)向微处理器的传输。仪器的使用者可根据医嘱选择性配置其它生理参数模块2，用于测量血氧、血糖、血压、体温，其信号经通讯模块5传输到微处理器10，处理后再经通讯模块12以无线方式上传到云服务器20保存。本实用新型申请把相关模块集成到一个管理系统当中，方便专业人员有针对性的监测人体的各种生理参数。The ECG signal of the human body is the core signal of the instrument, which is directly transmitted to the microprocessor 10 for processing, analysis and storage after being preprocessed and sampled by the ECG module 1 . The wearable monitoring recorder also includes a preset wired or wireless communication module 5 for transmitting optional extended physiological parameters (blood pressure, blood sugar, blood oxygen, body temperature, body weight, fingerprints, etc.) to the microprocessor. The user of the instrument can selectively configure other physiological parameter modules 2 according to the doctor's order to measure blood oxygen, blood sugar, blood pressure, and body temperature. The mode is uploaded to the cloud server 20 for preservation. The application of the utility model integrates relevant modules into a management system, which is convenient for professionals to monitor various physiological parameters of the human body in a targeted manner.
图1中靠右侧框图内包含的部分是系统的应用软件，实现远程的实时(或半实时)监测、存储、分析、诊断、报告等功能。人体的心电信号、血氧、血糖、血压、体温、体重等指标将永久存储在云服务器20的数据库中，专业人员可以随时从云服务器20下载相关数据进行分析诊断，并作出报告。分析诊断报告上传到云服务器20永久存储，可供相关人员查阅。完善的云服务网络不但可实现远程监护，还为远程会诊等提供支持。The part included in the block diagram on the right side of Figure 1 is the application software of the system, which realizes remote real-time (or semi-real-time) monitoring, storage, analysis, diagnosis, reporting and other functions. The human body’s ECG signal, blood oxygen, blood sugar, blood pressure, body temperature, body weight and other indicators will be permanently stored in the database of the cloud server 20. Professionals can download relevant data from the cloud server 20 at any time for analysis and diagnosis, and make reports. The analysis and diagnosis report is uploaded to the cloud server 20 for permanent storage, and can be consulted by relevant personnel. A complete cloud service network can not only realize remote monitoring, but also provide support for remote consultation.
可扩展人体生理参数远程记录、监测和诊断系统还集成有全球定位功能、人体姿态监测功能和多媒体互动功能。The extensible remote recording, monitoring and diagnosing system of human physiological parameters is also integrated with global positioning function, human body posture monitoring function and multimedia interactive function.
本申请的佩戴式监测记录仪中，还集成有全球定位模块6、姿态监测模块7和互动通讯模块8。这些模块的数据都经微处理器10处理后传送到云服务器20。全球定位模块6用于定位人体的具体位置，方便急救机构的工作；姿态监测模块7用于监测人体的运动状态，及时判别人体是否跌倒，并可监测人体的运动量(跑步、散步等)；互动通讯模块8用于被监测人与云服务器20的监测人员或医务人员进行视频、语音或文字的沟通，实现运程互动功能。互动通讯模块是通过网络进行即时通信的模块，可以是移动通信模块(2G、3G、4G或未来更新的技术)或WIFI模块。具有多媒体互动功能，病人可以通过本仪器与远程专业人员进行视频、语音和文字沟通，接收疾病管理建议和各种处方(包括运动处方、医嘱等)以及日常健康管理建议。In the wearable monitoring recorder of the present application, a global positioning module 6 , an attitude monitoring module 7 and an interactive communication module 8 are also integrated. The data of these modules are all processed by the microprocessor 10 and sent to the cloud server 20 . The global positioning module 6 is used to locate the specific position of the human body, which facilitates the work of the first aid organization; the attitude monitoring module 7 is used to monitor the motion state of the human body, judge whether the human body falls in time, and can monitor the amount of exercise of the human body (running, walking, etc.); interactive The communication module 8 is used for video, voice or text communication between the monitored person and the monitoring personnel or medical personnel of the cloud server 20, so as to realize the remote interactive function. The interactive communication module is a module for instant communication through the network, which can be a mobile communication module (2G, 3G, 4G or future updated technology) or a WIFI module. With multimedia interactive function, patients can communicate with remote professionals through video, voice and text, and receive disease management suggestions and various prescriptions (including exercise prescriptions, doctor's orders, etc.) and daily health management suggestions.
人体姿态监测可采用智能加速度传感器，将被测点的加速度信号转换为相应的电信号，进入前置放大电路，经过信号处理电路改善信号的信噪比，再进行模数转换得到数字信号，最后送入微处理器。或采用倾斜度传感器监测人体的位置是站立还是躺下。特有的患者姿态识别及定位功能，还可以识别患者的姿态(如跌倒)和活动状态并提供运动量统计等，辅以全球定位系统提供的位置信息，并将有关信息实时上传到监控中心，为远程值守人员采取必要的急救措施提供依据。Human posture monitoring can use an intelligent acceleration sensor to convert the acceleration signal of the measured point into a corresponding electrical signal, enter the preamplifier circuit, improve the signal-to-noise ratio through the signal processing circuit, and then perform analog-to-digital conversion to obtain a digital signal. into the microprocessor. Or adopt the inclination sensor to monitor whether the position of the human body is standing or lying down. The unique patient posture recognition and positioning function can also identify the patient's posture (such as falling) and activity status and provide exercise statistics, etc., supplemented by the location information provided by the global positioning system, and upload the relevant information to the monitoring center in real time. The on-duty personnel shall provide the basis for taking necessary first aid measures.
本实用新型产品可用于对心脏病的早期诊断和跟踪，对慢性病患者，特别是心脏病、高血压、糖尿病和严重传染病、其它老年病患、孤寡老人进行有效的日常管理和监护；可降低心脏病患者及其它病患的急诊或住院的频率；当患者遇到紧急情况时，可以得到及时的关注和救护。永久保存的电子病历和数据使患者终身受益，有利于医务人员对患者的治疗方案作出科学的判断。这些电子病历和数据也可供政府相关部门、研究机构、保险公司、医疗企业等提供科学的数据，用于政策制定、产品开发、临床研究等，方便他们作出相关的决策。The product of the utility model can be used for early diagnosis and tracking of heart disease, effective daily management and monitoring for patients with chronic diseases, especially heart disease, high blood pressure, diabetes and serious infectious diseases, other elderly patients, and widowed elderly; The frequency of emergency visits or hospitalizations of heart disease patients and other patients; when patients encounter emergencies, they can receive timely attention and rescue. Permanently preserved electronic medical records and data benefit patients for life, and help medical staff to make scientific judgments on patients' treatment plans. These electronic medical records and data can also provide scientific data for relevant government departments, research institutions, insurance companies, medical companies, etc., for policy formulation, product development, clinical research, etc., to facilitate them to make relevant decisions.
图2是本实用新型申请的一个实施方案，是图1的具体化。Fig. 2 is an embodiment of the utility model application, which is the embodiment of Fig. 1 .
图2中的系统分为两个部分，左框图的部分是佩戴式监测记录仪(仪器)。人体的心电信号是该仪器的核心信号，经过内置的心电模块的预处理后传输到微处理器作进一步处理和分析。血压、血糖、血氧、体温生理参数可通过可选的相关独立模块收集后通过蓝牙传输到微处理器。图2中右侧框图的部分是系统的应用软件，实现远程的监测、分析、存储、诊断、报告、互动通讯等功能。The system in Figure 2 is divided into two parts, the part of the left block diagram is the wearable monitoring recorder (instrument). The ECG signal of the human body is the core signal of the instrument, and after preprocessing by the built-in ECG module, it is transmitted to the microprocessor for further processing and analysis. Physiological parameters of blood pressure, blood sugar, blood oxygen, and body temperature can be collected through optional related independent modules and then transmitted to the microprocessor via Bluetooth. The part of the right block diagram in Figure 2 is the application software of the system, which realizes functions such as remote monitoring, analysis, storage, diagnosis, reporting, and interactive communication.
人体的心电信号经心电模块31的预处理后输入到低功耗的微处理器39进行处理，并存储在内部存储器38。无异常事件时，在预设时间段(例如每隔60分钟)上传压缩的心电信号到服务器50的数据库。云服务器可以是通讯服务商提供的3G/4G服务器。服务器内设有系统管理软件、专用数据库和心电分析软件51、异常事件监测软件52和医务人员的应用软件53。医务人员或专业人员可以随时下载人体的心电信号、血氧值、血糖值、血压值和体温值进行分析、监测，并出具诊断报告。所有数据、报告存储在服务器数据50中。After being preprocessed by the ECG module 31 , the ECG signals of the human body are input to the low-power consumption microprocessor 39 for processing and stored in the internal memory 38 . When there is no abnormal event, the compressed ECG signal is uploaded to the database of the server 50 within a preset time period (for example, every 60 minutes). The cloud server can be a 3G/4G server provided by a communication service provider. The server is equipped with system management software, special database, electrocardiographic analysis software 51, abnormal event monitoring software 52 and application software 53 for medical personnel. Medical personnel or professionals can download the human body's ECG signal, blood oxygen value, blood sugar value, blood pressure value and body temperature value at any time for analysis and monitoring, and issue a diagnosis report. All data, reports are stored in server data 50 .
有异常事件(例如心率过高或过低、心肌梗塞、频繁早搏、严重室颤和房颤、血氧值或血压值异常、体温过高等)发生时，微处理器39内置的分析软件(固件)会实时检测到这个事件，并优先发送紧急信号给服务器50，同时激活仪器中的麦克风发出警报声音、在显示器40上发出红色的闪光警报。此时，微处理器39把异常事件的心电信号、其它监测数据和人体的位置信息实时发送到服务器50。服务器50安排有专业人员24小时监控这些异常事件，必要时通知急救机构。急救机构可以从服务器50获得患者的心电信号和其它监测数据以及由定位模块35提供的GPS定位信号、由姿态传感器36提供的患者的运动信息。服务器50的监控人员或急救人员可以通过语音或文字模块37与患者沟通。When abnormal events (such as high or low heart rate, myocardial infarction, frequent premature beats, severe ventricular fibrillation and atrial fibrillation, abnormal blood oxygen value or blood pressure value, hyperthermia, etc.) occur, the analysis software (firmware ) will detect this event in real time, and give priority to sending an emergency signal to the server 50, and simultaneously activate the microphone in the instrument to sound an alarm, and send a red flash alarm on the display 40. At this time, the microprocessor 39 sends the ECG signal of the abnormal event, other monitoring data and the position information of the human body to the server 50 in real time. The server 50 arranges professionals to monitor these abnormal events 24 hours a day, and notify emergency agencies when necessary. The emergency organization can obtain the patient's ECG signal and other monitoring data from the server 50 , as well as the GPS positioning signal provided by the positioning module 35 , and the patient's movement information provided by the attitude sensor 36 . The monitoring personnel or emergency personnel of the server 50 can communicate with the patient through the voice or text module 37 .
另外，姿态传感器36监测人体的加速度，当加速度超过设定值时，可以认为是人体突然跌倒，此时，仪器本身会发出警报，同时把该种情况发送到云服务器50。In addition, the attitude sensor 36 monitors the acceleration of the human body. When the acceleration exceeds the set value, it can be considered that the human body has fallen suddenly. At this time, the instrument itself will send out an alarm and send the situation to the cloud server 50 at the same time.
血压、血糖、血氧、体温生理参数可通过可选的相关独立模块32收集后通过蓝牙模块34传输到微处理器39后，再上传到服务器50的数据库。Physiological parameters of blood pressure, blood sugar, blood oxygen, and body temperature can be collected by the optional related independent module 32, and then transmitted to the microprocessor 39 through the Bluetooth module 34, and then uploaded to the database of the server 50.
多媒体的语音、文字模块37是指该仪器具有语音处理和传输以及文字接收功能。患者可以与服务器50的检测人员或其它专业人员进行语音沟通，也可以接收专业人员发出的文字信息(例如医嘱、各种处方等)。The voice and text module 37 of multimedia means that this instrument has voice processing and transmission and text receiving functions. The patient can communicate by voice with the testing personnel of the server 50 or other professionals, and can also receive text messages (such as doctor's orders, various prescriptions, etc.) sent by professionals.
通讯模块41把需要传输的信号作处理，使用3G/4G或WiFi技术与服务器50联系，把数据发送到服务器50或接收来自服务器50的指令、数据、语音和文字。The communication module 41 processes the signal to be transmitted, uses 3G/4G or WiFi technology to contact the server 50, sends data to the server 50 or receives instructions, data, voice and text from the server 50.
本实用新型申请的佩戴式仪器使用电池组38供电。The wearable instrument of the utility model application uses a battery pack 38 to supply power.
图3和图4是实现本实用新型的服务器及软件结构示意图。Fig. 3 and Fig. 4 are schematic diagrams of the server and software structure for realizing the utility model.
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201420797068.2UCN204336910U (en) | 2014-12-16 | 2014-12-16 | A kind of extendible health remote logging, monitoring and diagnostic system |
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201420797068.2UCN204336910U (en) | 2014-12-16 | 2014-12-16 | A kind of extendible health remote logging, monitoring and diagnostic system |
| Publication Number | Publication Date |
|---|---|
| CN204336910Utrue CN204336910U (en) | 2015-05-20 |
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201420797068.2UExpired - LifetimeCN204336910U (en) | 2014-12-16 | 2014-12-16 | A kind of extendible health remote logging, monitoring and diagnostic system |
| Country | Link |
|---|---|
| CN (1) | CN204336910U (en) |
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| CN104490388A (en)* | 2014-12-16 | 2015-04-08 | 无锡市健维仪器有限公司 | Extensible human health remote recording, monitoring and diagnosis system |
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| CN104490388A (en)* | 2014-12-16 | 2015-04-08 | 无锡市健维仪器有限公司 | Extensible human health remote recording, monitoring and diagnosis system |
| CN105105762A (en)* | 2015-09-22 | 2015-12-02 | 赖大坤 | Telemetering monitoring method and system of multiparameter automatic early warning and rapid positioning response |
| CN106338596A (en)* | 2016-08-24 | 2017-01-18 | 四川长虹通信科技有限公司 | Health monitoring method, health monitoring apparatus, and electronic equipment |
| CN107440709A (en)* | 2017-09-18 | 2017-12-08 | 山东正心医疗科技有限公司 | Intelligent wearable electrocardiogram monitor system |
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| CN112842349B (en)* | 2021-02-20 | 2022-03-11 | 无锡市中健科仪有限公司 | Intelligent analysis method for supraventricular premature beat based on attention transfer mechanism |
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| Date | Code | Title | Description |
|---|---|---|---|
| C14 | Grant of patent or utility model | ||
| GR01 | Patent grant | ||
| CX01 | Expiry of patent term | ||
| CX01 | Expiry of patent term | Granted publication date:20150520 |