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WO2003001992A1 - Dispositif de surveillance de l'etat de sante d'une personne - Google Patents

Dispositif de surveillance de l'etat de sante d'une personne Download PDF

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Publication number
WO2003001992A1
WO2003001992A1 PCT/EP2002/006839 EP0206839W WO03001992A1 WO 2003001992 A1 WO2003001992 A1 WO 2003001992A1 EP 0206839 W EP0206839 W EP 0206839W WO 03001992 A1 WO03001992 A1 WO 03001992A1
Authority
WO
WIPO (PCT)
Prior art keywords
person
state
data processing
processing system
health
Prior art date
Application number
PCT/EP2002/006839
Other languages
German (de)
English (en)
Inventor
Helmut Deiss
Original Assignee
Helmut Deiss
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Helmut Deiss filed Critical Helmut Deiss
Publication of WO2003001992A1 publication Critical patent/WO2003001992A1/fr

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/0002—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
    • G—PHYSICS
    • G06—COMPUTING; CALCULATING OR COUNTING
    • G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
    • G06Q10/00—Administration; Management
    • G06Q10/10—Office automation; Time management
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/67—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation

Definitions

  • the present invention relates to devices according to the preamble of claim 1 and methods for medical care of at least one person.
  • Home emergency call systems are known in particular for old, frail people, in which an older person can be connected to an emergency call center via a stationary telephone.
  • a so-called house emergency call device is installed, which establishes a connection to the emergency center when an emergency button is pressed over the telephone, thus alerting a person in the emergency center.
  • this system is a system in which the person to be monitored wears a device around his neck, this device being able to exchange data with the device arranged on the telephone, so that the person wearing the device makes contact via the two in the house or the Devices can be arranged at home to an emergency call center, the emergency center then being able to use the two devices to ask what the person is missing or what help they need.
  • the problem with this emergency call system is that the person must still be able to actively operate the device in order to be able to contact the emergency call center.
  • the range of this device is limited, because due to the poor radio properties between the two devices of the system, verbal communication is often no longer possible after a few hundred meters or after just a few meters in the apartment.
  • the above-described emergency system alerts emergency addressees such as relatives, neighbors or nursing services who have keys to the home of the person who triggered the alarm and who were previously designated as emergency addressees. These called people then look for the person who triggered the emergency call. If necessary, emergency relief measures are then initiated or initiated. The emergency addressees will be notified even if the person is has not reported within a 24-hour rhythm by pressing a control button.
  • Systems are also known in which, if a person finds that their health is deteriorating, they can connect measuring devices to their bodies, with the measuring devices then having biological parameters such as e.g. B. measure the heart rate, blood pressure or heart rhythm and transmit it to a doctor.
  • biological parameters such as e.g. B. measure the heart rate, blood pressure or heart rhythm and transmit it to a doctor.
  • mobile radio devices in which sensors are installed, by means of which an EKG can be recorded, a connection to a call center then being set up after actuation of a dialing button, medical advice then being provided by the call center. For this purpose, the EKG data are transmitted to the call center via the radio link, so that the adviser can carry out medical advice on the basis of the measured EKG.
  • a disadvantage of all the prescribed systems is that the person has to be active in order to trigger the emergency call or to transmit measured data to a remote emergency call device.
  • the devices according to the invention are advantageously portable and can be worn directly on the body, as a result of which they can be connected to sensors that can be permanently attached to the body. It is also conceivable that sensors are arranged in the device itself, which directly at least one biological parameter such as z. B. heart rate, heart condition, blood pressure, etc. can monitor. As soon as the device detects that one or more biological parameters of the person wearing the device are outside a normal range, are completely absent, or the measured biological parameters do not match, the device or the system generates emergency calls by the doctors, emergency services, helpers. or nursing staff.
  • the device itself can evaluate the acquired data, in order to then send an emergency call signal by means of the communication device if necessary or when a critical condition is ascertained.
  • the determined data are sent at intervals or permanently to a remotely located data processing system via the communication device transmitted, the remotely located data processing system evaluating the transmitted data and generating a corresponding emergency call signal when the person is in a critical state and notifying doctors, emergency call services or auxiliary or nursing staff according to the state.
  • the devices described above advantageously have a memory with which the determined biological parameters or their values can be recorded.
  • the devices then transmit the data to the remotely located data processing system, where this data is stored permanently, even if the condition of the person is not critical.
  • This makes it possible for a doctor or nursing staff to call up the data stored in the remotely located data processing system before a real care visit and to check the condition of the person and what treatment methods or medication additions the person needs.
  • the nursing staff or the doctor can then use these medications to visit the person and does not have to first determine what the person is missing in order to then visit the patient again with the medication. This advantageously reduces the costs for the treatment and care of the person.
  • the device can have any type of mobile communication device. So it is z. B. possible to provide a mobile device in the device, which can make contact with a remotely located data processing system regardless of a base station in a building. In this case, the person is free in their movement space, so that the overall system too works when the person leaves their home environment. However, it is also conceivable that a base station is arranged in a building with which the communication device of the device can make contact. However, this disadvantageously limits the radius of action of the person wearing the device.
  • the device also has the function of generating an emergency call signal if a predefinable or prescribed biological parameter is not detected.
  • a predefinable or prescribed biological parameter can e.g. B. be the body temperature or the heartbeat of the person.
  • the alarm is triggered automatically. Failure to detect the signals or values can e.g. B. because the person incorrectly created or lost the device, or the person is in a critical condition so that they need help immediately. It is therefore advantageous that, for. B. the pulse and / or the temperature continuously, d. H. is checked without interruptions.
  • the automatic blood pressure control is initiated immediately if the predefined personal values of the pulse are undershot or exceeded. If the results of the blood pressure measurement also produce striking results, an alarm is triggered. Care is taken to ensure that the alarm does not come on during routine activities such as climbing stairs or having sex.
  • These individual objective vital parameters of each customer form the basis of all system decisions and are in the device itself or in the remote data processing attachments filed.
  • the person's family doctor advantageously determines and stores his individual values of blood pressure and pulse and, if appropriate, other biological parameters under various stressful situations during a basic examination. These data subsequently serve to evaluate the currently determined values of the biological parameters or values measured by the device.
  • the person advantageously has no direct access to the respectively current values and / or values already stored, so that suggestion effects are avoided in certain patient types.
  • the current position of the person can advantageously be determined by the mobile radio network in order to lead the people rushing to help to the person as quickly as possible. It is also possible that the device itself contains a GPS receiver or a similar navigation system, the position being transmitted to the remotely located data processing system in the event of an alarm, and then the persons rushing to help can also be quickly guided to the person's location.
  • the patient can be verbally reassured via the communication device. It is also possible to establish visual contact with the person via video telephony.
  • the health data can be obtained by means of one of the previously described or a further embodiment of the device or method according to the invention collected by one person and transmitted to the or a headquarters.
  • the head office collects the data over a very long period of time and evaluates it continuously or at intervals in terms of long-term monitoring. This makes it possible to identify health changes that are gradual, but can be significant over a very long period of time.
  • the central EDP compares the newly received data with the already stored data and can, for example, correlate them with one another. Long-term evaluation can make the whole system, including the device worn by the person, work more effectively.
  • the device can be reprogrammed from the control center and / or receive new data which are decisive for the alarm, on the basis of the changed framework conditions determined during long-term monitoring. For example, it is possible to monitor the person for additional clinical pictures if there are signs of this. As a result, the entire system reacts effectively even over a long period of time without a doctor having to monitor the system. However, it makes sense that such a check / monitoring of the system is carried out from time to time by suitable specialist personnel or a doctor.
  • therapy it is also possible for therapy to be initiated and / or monitored by means of one of the previously described or a further embodiment of the device according to the invention or the method for monitoring a person.
  • the (long-term) observation of the person can thus be ascertained by the device or the control center that the person is in need of therapy. If this happens, it will either the medication is initiated automatically if the person has a device for the automatic delivery of medication or a specific person, such as a doctor, is instructed to prescribe the medication or to initiate treatment.
  • the device can then be used to monitor whether the initiated treatment / therapy is working and whether the desired results are being achieved.
  • the intake of the prescribed medication can also be monitored by means of the device, since the blood pressure, the heart rate or other biological parameters generally change as a result of the intake of medication. If there are no changes characteristic of the respective medication, the device can alert the person to the fact that they have forgotten to take the medication. At the same time, the non-intake can be logged, which gives the treating doctor information that the person does not support the therapy. It is also possible to monitor whether the person actually prescribed movement therapy completed in a sufficient manner.
  • the success of the prescribed therapy can be monitored. If there is no success after a certain time, the device or the system can discontinue or change the therapy. At the same time, a doctor can be alerted that the person is not responding to the therapy. A drug intolerance or drug interactions can also be detected and monitored by means of the system or the device.
  • a selective alarm is triggered. Depending on the state of health, different people or groups of people are alerted. For example, only a neighbor or relative of the person can be notified if there is only a slight, ie harmless, health deviation. In the event of a slightly more critical state of health, a nursing service is notified in a second stage.
  • a nurse can be notified if the condition is even more serious.
  • the following order is worth considering: 1. acquaintances / relatives; 2. nursing service; 3. nurse; 4. General practitioner / doctor; 5. ambulance + paramedic; 6. Emergency doctor / helicopter.
  • the order can be specified as desired.
  • several people / groups can be notified of an alarm at the same time.
  • a family member can also be notified.
  • the family member can also be notified / alerted at each alarm level.
  • Fig. 1 A systematic representation of the system
  • Fig. 2 a possible method for monitoring the health status of a person.
  • FIG. 1 shows a person 1.
  • This person 1 carries the device 2, which is designed as a watch and sensors integrated in a radio bracelet.
  • This radio armband 2 measures the blood pressure and the pulse of the person 1 by means of sensors.
  • the device 2 contains an individual computer 3 which evaluates the determined blood pressure and pulse values. Patient-related data and comparison values are stored in the individual computer 3, so that an evaluation of the health status of the person 1 is possible. If the device 1 becomes a critical state of the person 1,
  • a central computer 6 is selected via a connected mobile radio telephone 4 via a communication network 5.
  • the central computer 6 alarms immediately or additionally checks the correctness of the data transmitted by the individual computer.
  • the central computer alarms via auxiliary channels, not shown, corresponding auxiliary personnel such.
  • FIG. 2 shows a schematic representation of a possible method using the device according to the invention, as described, for. B. is shown in Figure 1.
  • the person 1 wears the radio armband 2 with an integrated microprocessor 3, which has a mobile radio telephone
  • the mobile radio telephone 4 is connected. It is also possible that the mobile radio telephone 4 is integrated directly into the radio arm band 2. So the radio armband 2 can also directly with the cellular network
  • the sensors of the device 2 permanently monitor the pulse of the person 1. If the pulse does not exceed a certain threshold value, the process continues pulse monitoring continued. If, on the other hand, the pulse of person 1 exceeds a threshold value Sp, a blood pressure measurement is then carried out. If it is determined here that the blood pressure does not exceed a threshold value Sd, the pulse monitoring is continued. If, on the other hand, it is found that the blood pressure value of person 1 has exceeded the threshold value Sd, a telephone number is then dialed using the mobile communication device of the device and a specific alarm is triggered. The device itself can determine which alarm is to be triggered. However, it is also possible that only the values determined, such as. B. pulse and blood pressure to the remotely located data processing system 6, which then makes a decision 1 - xx based on the patient data already stored to trigger an alarm.
  • FIG. 2 shows monitoring of the two biological parameters pulse and blood pressure. It goes without saying that further biological parameters of the person can be monitored. By monitoring other biological parameters, the person's state of health can be checked even better, which can possibly provide faster and more targeted help.
  • the device directly alerts a doctor, emergency service or nursing staff, i. H. without interposing the data processing system 6. This can, for. B. after alerting a doctor about the emergency call. This procedure advantageously saves time which can be life-saving for the person in need.

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  • Engineering & Computer Science (AREA)
  • Health & Medical Sciences (AREA)
  • Business, Economics & Management (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Entrepreneurship & Innovation (AREA)
  • General Health & Medical Sciences (AREA)
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Abstract

L'invention concerne un dispositif (2) destiné à la surveillance de l'état de santé d'une personne (1), ce dispositif (2) étant porté par la personne (1). L'invention concerne également un dispositif de communication (4,5), un dispositif électronique d'évaluation (3) et au moins un capteur permettant de déterminer l'état ou au moins une valeur ou un paramètre biologique de la personne (1). Le dispositif (2) vérifie l'état ou la/les valeur(s) ou le/les paramètre(s) biologique(s) de la personne (1) et notamment qu'il ou elle se situe toujours dans une plage normale. Le dispositif (2) envoie un message à un dispositif de traitement de données (6) distant ou à une personne (7, 8, 9) par le dispositif de communication (4,5), notamment un médecin (8) ou un personnel de soins (9), dès que l'état de santé ou la/les valeur(s) ou le/les paramètre(s) biologique(s) de la personne est/sont critique(s).
PCT/EP2002/006839 2001-06-27 2002-06-20 Dispositif de surveillance de l'etat de sante d'une personne WO2003001992A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE10130562A DE10130562A1 (de) 2001-06-27 2001-06-27 Vorrichtung zur Überwachung des Gesundheitszustandes einer Person
DE10130562.1 2001-06-27

Publications (1)

Publication Number Publication Date
WO2003001992A1 true WO2003001992A1 (fr) 2003-01-09

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PCT/EP2002/006839 WO2003001992A1 (fr) 2001-06-27 2002-06-20 Dispositif de surveillance de l'etat de sante d'une personne

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WO (1) WO2003001992A1 (fr)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2005016143A1 (fr) * 2003-08-15 2005-02-24 Medcare Systems Pty Ltd Appareil de surveillance pour patient en ambulatoire et procede de surveillance associe
WO2005104930A1 (fr) * 2004-04-30 2005-11-10 Biowatch Pty Ltd Systeme de surveillance de l'etat de sante d'un animal

Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE102005006037A1 (de) * 2005-02-08 2006-08-10 Deutsche Telekom Ag Verfahren und Vorrichtung zur Überwachung Betreuung benötigender Personen
DE102007032610A1 (de) * 2007-07-11 2009-01-15 Deutsche Telekom Ag Verfahren zur Fernüberwachung des medizinischen Zustandes eines Nutzers, System und Vorrichtung dafür

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5331549A (en) * 1992-07-30 1994-07-19 Crawford Jr John M Medical monitor system
US5724025A (en) * 1993-10-21 1998-03-03 Tavori; Itzchak Portable vital signs monitor
WO1998038909A1 (fr) * 1997-03-07 1998-09-11 Informedix, Inc. Procede, dispositif et systeme d'exploitation pour la surveillance et la gestion temps reel de l'etat de sante et des schemas posologiques de traitements medicaux des patients
US6100806A (en) * 1994-12-30 2000-08-08 Advanced Business Sciences, Inc. Apparatus and method for continuous electronic monitoring and tracking of individuals
US6102856A (en) * 1997-02-12 2000-08-15 Groff; Clarence P Wearable vital sign monitoring system
WO2000067633A2 (fr) * 1999-05-07 2000-11-16 David Teller Procede et appareil pour le suivi de signes medicaux
EP1101437A1 (fr) * 1999-11-17 2001-05-23 Siemens Aktiengesellschaft Système médical pour la surveillance des paramètres d'un patient à domicile

Family Cites Families (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5971931A (en) * 1994-03-29 1999-10-26 Raff; Gilbert Lewis Biologic micromonitoring methods and systems
DE19710135A1 (de) * 1997-03-12 1998-10-08 Gerd Marquardt Sicherheitsinformationssystem
US5967975A (en) * 1997-11-13 1999-10-19 Ridgeway; Donald G. Home health parameter monitoring system

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5331549A (en) * 1992-07-30 1994-07-19 Crawford Jr John M Medical monitor system
US5724025A (en) * 1993-10-21 1998-03-03 Tavori; Itzchak Portable vital signs monitor
US6100806A (en) * 1994-12-30 2000-08-08 Advanced Business Sciences, Inc. Apparatus and method for continuous electronic monitoring and tracking of individuals
US6102856A (en) * 1997-02-12 2000-08-15 Groff; Clarence P Wearable vital sign monitoring system
WO1998038909A1 (fr) * 1997-03-07 1998-09-11 Informedix, Inc. Procede, dispositif et systeme d'exploitation pour la surveillance et la gestion temps reel de l'etat de sante et des schemas posologiques de traitements medicaux des patients
WO2000067633A2 (fr) * 1999-05-07 2000-11-16 David Teller Procede et appareil pour le suivi de signes medicaux
EP1101437A1 (fr) * 1999-11-17 2001-05-23 Siemens Aktiengesellschaft Système médical pour la surveillance des paramètres d'un patient à domicile

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2005016143A1 (fr) * 2003-08-15 2005-02-24 Medcare Systems Pty Ltd Appareil de surveillance pour patient en ambulatoire et procede de surveillance associe
WO2005104930A1 (fr) * 2004-04-30 2005-11-10 Biowatch Pty Ltd Systeme de surveillance de l'etat de sante d'un animal

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Publication number Publication date
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