Chronic pain digital therapy system

Abstract

The invention relates to a chronic pain digital therapy system, and belongs to the technical field of chronic disease treatment, the system comprises a cloud digital therapy engine, an expert information terminal, a patient information terminal and a treatment execution mechanism which are connected through a network, and the cloud digital therapy engine comprises a terminal management subsystem and a scheme management subsystem. The expert information terminal is used for completing doctor-patient communication, scheme submission and patient feedback obtaining, and the patient information terminal is used for completing scheme confirmation, remote guidance and monitoring of the treatment process and curative effect reporting and implementing treatment by being connected with related treatment execution equipment. And the terminal management subsystem completes registration and management of related terminals and treatment execution equipment, realizes respective information release and interaction, supports multimedia interaction between experts and patients, and determines digital prescriptions. And the scheme management subsystem is used for collecting, sorting, issuing and optimizing digital therapy schemes.

Description

Technical Field

[0001] The present invention belongs to the field of chronic disease rehabilitation treatment, and specifically relates to a chronic pain digital therapy system. Background Art

[0002] The "China Pain Medicine Development Report (2020)" shows that there are more than 300 million chronic pain patients in my country, and the incidence of chronic pain in my country is about 35% to 40%, among which 85% of elderly patients have chronic pain. In October 2022, the data of the first "Cognitive Survey Report on the Prevention and Treatment of Common Pain in the Middle-aged and Elderly" showed that 56.6% of middle-aged and elderly people suffered from at least two common pains. The top four common pains were: musculoskeletal pain (cervical spine, back, intervertebral disc, etc.) (accounting for 80.4%), pain caused by diabetic neuropathy (accounting for 53.1%), head / maxillofacial pain (accounting for 48.4%), and herpes zoster-related pain (accounting for 40%). Nearly half (48.4%) of people choose to endure the pain, and the older they are, the higher the proportion of people who choose to endure the pain.

[0003] The reason why the proportion of patients who endure pain is so high is mainly due to the lack of effective, simple, and low-cost treatment methods. With the development of science and technology, many effective treatment methods have been widely adopted by medical institutions, such as magnetic resonance thermal therapy, short wave therapy, ultra short wave therapy, spectrum therapy, etc. The use of these medical devices has played a huge role in alleviating pain for many patients. However, since the operation of these medical devices requires certain professional knowledge, their widespread application is restricted and it is difficult to benefit more patients. Summary of the invention

[0004] In order to solve the above technical problems, the present invention provides a digital therapy system for chronic pain, which uses mobile communication technology to achieve effective connectivity between medical experts, digital therapy equipment and patients, so that patients can operate home medical equipment at home under the professional treatment guidance of medical experts to achieve self-service medical services; and through artificial intelligence technology, more patients can share digital prescriptions at a low price, thereby significantly reducing the number of people suffering from pain and achieving the goal of improving the health level of the nation.

[0005] To achieve the above-mentioned purpose, the technical solution adopted by the present invention is as follows: a chronic pain digital therapy system, which includes a cloud digital therapy engine, an expert information terminal, a patient information terminal and a treatment execution device, which are connected through a network. The patient uses the patient information terminal to interact with the cloud digital therapy engine by himself or chooses to interact with a medical expert holding an expert information terminal to confirm the condition and determine the digital prescription. The digital prescription provided by the cloud digital therapy engine is transmitted to the treatment execution device via Bluetooth, and the self-service treatment service is completed under the guidance of the patient information terminal to relieve the pain caused by chronic pain; the cloud digital therapy engine includes a digital therapy terminal management subsystem and a digital therapy program management subsystem. The system, the expert information terminal is used to complete the interaction between experts and patients, the submission of personalized digital prescriptions, the guidance and monitoring of the treatment process, and the statistics and analysis of the efficacy. The patient information terminal is used to complete the confirmation of the digital therapy plan, the guidance and monitoring of the treatment process, and the reporting of the treatment effect. By connecting to relevant treatment execution equipment, the digital therapy plan is implemented on the patient. The digital therapy terminal management subsystem completes the registration and management of the expert information terminal, the patient information terminal and the treatment execution equipment, and realizes the respective information release; establishes doctor-patient connection; supports multimedia interaction between experts and patients, and determines digital prescriptions. The digital therapy plan management subsystem completes the collection, organization, release and optimization of digital therapy plans.

[0006] The advantages of the present invention compared with the prior art are:

[0007] The present invention organically combines medical experts, medical equipment and patients through the Internet, thereby realizing an Internet of Things system that serves a large number of chronic pain patients, which can effectively improve patient compliance and accessibility. Through remote access and digital means, patients can receive treatment at home or anywhere accessible by the Internet, thereby reducing dependence on hospitals and clinics.

[0008] In addition, the present invention can provide a personalized treatment plan for patients with chronic pain, and intervene according to the specific conditions of the patients, thereby improving the treatment effect.

[0009] The present invention has made technical preparations for reducing medical costs and improving treatment efficiency. It is not only convenient and fast, but also can improve medical effects while reducing medical costs and achieve optimal allocation of medical resources. For example, patients with pain can reduce medical expenses by reducing unnecessary hospital visits.

[0010] The invention has an evidence-based basis, which means that its effect is supported by scientific evidence such as systematic reviews and meta-analyses. This evidence-based approach ensures the effectiveness and reliability of digital therapy.

[0011] In addition, the present invention can also perform personalized treatment and quickly iterate digital prescriptions through AI-driven machine learning algorithms, thereby making greater contributions to improving chronic pain treatment methods.

[0012] This system is different from other private domain application systems. It takes a certain enterprise as the product and application boundary. This system is a public domain application system. All products and applications on the market may be included in this system. The present invention sets up a professional review committee for digital therapy of chronic pain composed of senior experts within the operation framework to review the medical execution equipment, medical experts and digital prescriptions registered in this system, and has a veto power to ensure the safety and effectiveness of the digital therapy provided by this system. The members of the expert committee come from the following departments, including but not limited to: pain department, neurology department, orthopedics department, internal medicine department, surgery department, psychology department, rehabilitation department, etc.

[0013] In summary, the present invention can improve the patient's compliance and accessibility, reduce medical costs, provide personalized treatment plans supported by evidence-based medicine, and break through the limitations of time and space. It can allow more patients to relieve the suffering caused by chronic pain at a lower cost and improve their quality of life. BRIEF DESCRIPTION OF THE DRAWINGS

[0014] Figure 1 The general diagram of the digital therapy system for chronic pain of the present invention is as follows;

[0015] Explanation of the accompanying drawings: 1. Cloud-based digital therapy engine, 2. Expert information terminal, 3. Patient information terminal, 4. Treatment execution device, 5. Digital therapy terminal management subsystem, 6. Digital therapy plan management subsystem, 7. Medical expert, 8. Patient, 9. Terminal database, 10 Plan database. DETAILED DESCRIPTION

[0016] In order to make the purpose, technical scheme and advantages of the present invention more clearly understood, the present invention is further described in detail below in conjunction with the accompanying drawings and embodiments. It should be understood that the specific embodiments described herein are only used to explain the present invention and are not intended to limit the present invention. In addition, the technical features involved in each embodiment of the present invention described below can be combined with each other as long as they do not conflict with each other. To achieve the above-mentioned purpose, the present invention adopts the following technical scheme.

[0017] The main purpose of the present invention is to provide a chronic pain digital therapy system for patients. Figure 1As shown, the digital therapy system for chronic pain of the present invention includes a cloud digital therapy engine 1, an expert information terminal 2, a patient information terminal 3 and a treatment execution device 4, which are connected through a network. The patient 8 uses the patient information terminal 3 to interact with the cloud digital therapy engine 1 or chooses to interact with a medical expert 7 holding an expert information terminal 2 to confirm the condition and determine the digital prescription. The digital prescription provided by the cloud digital therapy engine 1 is transmitted to the treatment execution device 4 via Bluetooth, and the self-service treatment service is completed under the guidance of the patient information terminal 3 to relieve the suffering caused by chronic pain.

[0018] The cloud-based digital therapy engine 1 is composed of two relatively independent functional modules, a digital therapy terminal management subsystem 5 and a digital therapy program management subsystem 6. The digital therapy terminal management subsystem 5 is mainly used to manage the permissions of medical experts 7, patients 8 and treatment execution devices 4 registered in the chronic pain digital therapy system of the present invention when interacting with the system and the related information generated (the registration of medical experts 7 requires the medical experts to submit qualification certificates and can only be completed after being reviewed by special qualification review personnel). In addition, it includes the diagnosis information and treatment plans generated by medical experts 7 when providing services to specific patients 8, as well as the treatment plans formulated by medical experts 7 for specific chronic pain diseases; it also includes the patient 8's previous treatment process information and the patient's evaluation of the effect of each treatment process; it also includes the relevant treatment processes of the treatment execution devices 4 that can be selected by the medical experts 7 and the user (including medical experts and patients) effect evaluation; in addition The digital therapy terminal management subsystem 5 also provides multimedia interactive service support for users registered in the system, and supports the patient information terminal 3 to transmit parameters and operate the treatment execution device 4 that meets the connection conditions; the expert information terminal 2 is used to complete the interaction between medical experts 7 and patients 8, the submission of personalized digital prescriptions, the guidance and monitoring of the treatment process, and the statistics and analysis of the efficacy. The patient information terminal 3 is used to complete the confirmation of the digital therapy plan, the guidance and monitoring of the treatment process, and the reporting of the treatment effect, and by connecting to the relevant treatment execution device 4, the digital therapy plan is implemented for the patient 8. The digital therapy terminal management subsystem 5 completes the registration and management of the expert information terminal 2, the patient information terminal 3 and the treatment execution device 4, and realizes the release of their respective information; establishes a doctor-patient connection; supports multimedia interaction between medical experts 7 and patients 8, determines digital prescriptions, and the digital therapy plan management subsystem 6 completes the collection, organization, release and optimization of digital therapy plans.

[0019] The digital therapy program management subsystem 6 of the cloud digital therapy engine 1 is used to review, publish and iterate various treatment programs related to chronic pain described in the present invention. The treatment programs come from the following aspects:

[0020] 1. The system operator reviews and uploads publicly available information;

[0021] 2. Uploaded by medical experts registered in this system;

[0022] 3. Valid treatment case data of patients registered in this system.

[0023] To ensure the effectiveness of the cases and reduce the risk of treatment, all uploaded treatment plans must be reviewed by a professional review committee composed of senior clinical experts before being released to the public for selection by registered patients 8 or medical experts 7. To further improve the treatment plans and efficacy, the plan management subsystem will fully explore the big data generated during the use of various plans and use it as the data basis for iterating various plans.

[0024] The expert information terminal 2 is composed of an entry module, a prescription module and a communication module. The entry module provides expert registration and login functions. The medical expert 7 interacts with the cloud digital therapy engine 1 through the expert information terminal 2 to complete the upload of professional qualifications and basic information and expert identity identification to ensure that the registered medical expert 7 meets the system requirements and confirms that it is the medical expert 7 himself who is using the expert information terminal 2; the prescription module allows the medical expert 7 to interact with the cloud digital therapy engine 1 to establish and maintain digital prescriptions; the communication module provides communication services between doctors and patients, realizes one-to-one remote diagnosis and treatment services, confirms symptoms, determines prescriptions, guides patients 8 to use treatment execution equipment for treatment, and statistically analyzes and organizes the information feedback by patients 8 as an important basis for maintaining digital prescriptions.

[0025] The patient information terminal 3 is composed of two modules: prescription determination and prescription execution. The prescription determination module allows patients to present their medical complaints, and the system makes a diagnosis based on the patient's medical complaints and gives a suitable digital prescription, which can be given in one of the following ways: 1. Menu-driven diagnosis, the patient 8 interacts with the cloud digital therapy engine 1 through the menu according to the steps pre-arranged by the system to obtain a complete medical complaint, and the cloud digital therapy engine 1 gives a digital prescription that matches the medical complaint; 2. Artificial intelligence-based diagnosis, the patient 8 interacts with the cloud digital therapy engine 1 based on natural semantic understanding through the artificial intelligence chat module of the system to obtain a complete medical complaint, and the cloud digital therapy engine 1 gives a digital prescription that matches the medical complaint; 3. Diagnosis based on doctor-patient interaction, the patient interacts with the medical expert 7 through the patient information terminal 3, and the medical expert 7 provides a personalized digital prescription; the prescription execution module is used by the patient 8 during treatment, including parameter transmission and control of the treatment equipment, text or video guidance of the treatment process, and feedback on the effect after treatment.

[0026] The treatment execution device 4 refers to a physical therapy device or rehabilitation training device that has been clinically verified to be effective in relieving pain. It includes but is not limited to magnetic resonance thermal therapy devices, ultrasonic therapy devices, microwave therapy devices, ultrashort wave therapy devices, spectrum therapy devices, infrared therapy devices, electrical stimulation therapy devices and other devices, as well as balance training balls, elastic bands, dumbbells and other equipment. In addition, mobile phones, tablet computers, laptops or desktop computers equipped with shooting lenses and rehabilitation training motion analysis and guidance training software based on artificial intelligence technology can also be used as treatment execution devices. Among them, there are some physical therapy devices with Internet of Things functions, and patients can directly transmit and control their treatment parameters through patient information terminals, which can greatly reduce the difficulty of patients 8 in controlling treatment equipment and unnecessary risks caused by incorrect parameter settings.

[0027] Furthermore, the main complaint of the disease refers to the patient 8's feelings and description of his or her disease condition, including:

[0028] 1. Pain onset: When did the patient begin to feel pain?

[0029] 2. Characteristics of pain: dull pain, stabbing pain, distending pain, soreness, severe pain, cramping pain, tenderness, knife-like pain, tearing pain, squeezing pain, pulling pain, dull pain, throbbing pain, electric shock-like pain, itching pain, numbness pain, bursting pain, etc.

[0030] 3. Location of pain: The specific location of the patient's pain, such as the head, neck, chest, waist and abdomen, limbs, etc.

[0031] 4. Pain severity: assessed using the unidimensional pain rating scale FPS-R, ranging from 0 to 10 points, with 0 points being no pain and 10 points being severe pain.

[0032] 5. Changes in pain: how symptoms change over time, such as worsening, relief, recurrence, etc.

[0033] 6. Associated symptoms: In addition to the main symptoms, does the patient have other discomfort?

[0034] 7. Pain triggers: Whether the patient had any obvious triggers before the onset of the disease, such as lifting heavy objects or overwork.

[0035] 8. Pain duration: the length of time the patient has been experiencing pain.

[0036] Furthermore, the digital prescription refers to the diagnosis of the disease made according to the main complaint of the disease and the treatment plan proposed based on the diagnosis of the disease using the treatment execution device, including the following key parts:

[0037] 1. Notes before prescribing:

[0038] 1.1. Prescription number

[0039] 1.2. Medical institution information (if applicable), including: name of medical institution, outpatient or inpatient case number, department or ward and bed number, fee type;

[0040] 1.3. Patient information, including: patient name, gender, and age;

[0041] 1.4. Disease information, including clinical diagnosis, prescription date, etc.

[0042] 2. The main text of the prescription, including the name and number of the treatment execution device, setting parameters (such as the magnetic field strength, vibration frequency, treatment temperature, etc. of the magnetic resonance thermal therapy device), treatment time, treatment frequency (times / day, times / week), operation method, action guidance demonstration, and risk warning detailed information.

[0043] 3. Electronic signature. According to a special embodiment of the present invention, the cloud digital therapy engine 1 runs on the technical environment provided by the cloud, and the expert information terminal 2 and the patient information terminal 3 use applet as the development platform, which can run on mobile phones or tablets of Apple, Android or Hongmeng system. The treatment execution device 4 is a home portable magnetic resonance heat, and its treatment parameters include treatment time, temperature, magnetic field strength, and frequency.

[0044] After patient 8 registers and logs into the system using patient information terminal 3, he can obtain treatment plans in the following three ways:

[0045] 1. Menu driven;

[0046] 2. Natural language dialogue;

[0047] 3. One-on-one expert service;

[0048] After obtaining the treatment plan, follow the text or video prompts on the patient information terminal 3, fix the magnetic resonance thermal conductor on the body with a strap, press the execution button, and the magnetic resonance thermal begins to work. After the treatment is completed, the patient information terminal 3 reminds the patient that the treatment is completed and asks the patient how he feels.

[0049] After registering and logging into the system using the expert information terminal 2, the medical expert 7 can accept the patient's request, provide one-to-one remote services, and publish treatment plans using magnetic resonance heating for specific diseases.

[0050] The digital therapy system for chronic pain also includes a terminal database 9. The data of the digital therapy terminal management subsystem 5 is stored in the terminal database 9. The digital therapy terminal management subsystem 5 includes a terminal management module and an information interaction module. The terminal management module completes the registration, deletion, login, logout and authority management functions of the patient information terminal 3, and has the function of statistics and rewards for the work results of the expert information terminal 2; the information interaction module completes one-to-one or one-to-many multimedia interaction between patients to clarify the condition, determine the digital prescription, and save the interaction information in the terminal management database 9.

[0051] The digital therapy system for chronic pain also includes a program database 10, and the data of the digital therapy program management subsystem 6 is stored in the program database 10. The digital therapy program management subsystem 6 includes the following functional modules: a. A pain model establishment module, which adopts a structured or unstructured method, wherein the unstructured method is to establish a pain model through artificial intelligence semantic understanding training; b. A digital prescription establishment and iteration module, in which experts use the expert information terminal 2 to establish a one-to-one digital prescription for a specific pain model and save it in the program database 10. When a digital prescription is selected by a patient, the patient's treatment feedback will also be recorded in the program database 10. When the treatment feedback of a digital prescription reaches a certain number, the digital therapy terminal management subsystem 5 iterates the digital prescription according to the treatment feedback evaluation, and the iteration includes abandonment, revision of parameters and recommendation for use.

[0052] The cloud-based digital therapy engine 1 is established on a public cloud or a private cloud or even a local area network as needed to provide services for customers with different needs.

[0053] The expert information terminal 2 software is a computer program in various packaged forms, including mini-programs or APPs, which is installed on the expert's mobile phone, tablet computer, laptop or desktop computer for use.

[0054] The patient information terminal 3 software is a computer program in various packaged forms, including mini-programs or APPs, which is installed on the patient's mobile phone, tablet computer, laptop or desktop computer for use.

[0055] The treatment execution device 4 is a medical device or training device that has a therapeutic effect on chronic pain, including but not limited to a magnetic resonance thermal therapy device, a microwave therapy device, an ultrashort wave therapy device, a spectrum therapy device, and a fascia gun.

[0056] The ways for patients to obtain digital prescriptions include: a. Directly interacting with medical experts who hold expert information terminals 2; b. Interacting with cloud-based digital therapy engines 1.

[0057] The operating environment of the cloud digital therapy engine 1, the expert information terminal 2 and the patient information terminal 3 is various computer operating systems including but not limited to Windows, Linux, Unix, various database management systems including but not limited to SQL Server, Mysql, Oracle, and software development languages ​​including but not limited to C++, Java, Python.

[0058] According to a special embodiment of the present invention, experts can provide services in a paid manner and obtain corresponding remuneration, and the system provides a settlement channel between experts and patients.

[0059] The present invention uses Internet cloud services, artificial intelligence and big data technologies to organically combine patients, medical experts and treatment execution equipment to form an artificial intelligence Internet of Things system specifically for chronic pain patients. It provides a convenient, safe, reliable, effective, high-compliance and low-cost treatment method to relieve the chronic pain that plagues most patients.

[0060] It will be easily understood by those skilled in the art that the above description is only a preferred embodiment of the present invention and is not intended to limit the present invention. Any modifications, equivalent substitutions and improvements made within the spirit and principles of the present invention should be included in the protection scope of the present invention.

Claims

1. A digital therapy system for chronic pain, characterized in that: The system comprises a cloud digital therapy engine (1), an expert information terminal (2), a patient information terminal (3) and a treatment execution device (4), which are connected via a network. The patient uses the patient information terminal (3) to interact with the cloud digital therapy engine (1) or selects a medical expert holding an expert information terminal (2) to interact with the patient, confirms the condition, and after determining the digital prescription, transmits the digital prescription provided by the cloud digital therapy engine (1) to the treatment execution device (4), and completes the self-service treatment service under the guidance of the patient information terminal (3); The cloud digital therapy engine (1) includes a digital therapy terminal management subsystem (5) and a digital therapy program management subsystem (6). The expert information terminal (2) is used to complete the interaction between the medical expert (7) and the patient (8), submit personalized digital prescriptions, guide and monitor the treatment process, and count and analyze the efficacy. The patient information terminal (3) is used to complete the confirmation of the digital therapy program, guide and monitor the treatment process, report the treatment effect, and implement the digital therapy program on the patient (8) by connecting to the relevant treatment execution device (4). The digital therapy terminal management subsystem (5) completes the registration and management of the expert information terminal (2) and the patient information terminal (3) and the treatment execution device (4), and realizes the release of their respective information; establishes a doctor-patient connection; supports multimedia interaction between the medical expert (7) and the patient (8), and determines the digital prescription. The digital therapy program management subsystem (6) completes the collection, organization, release and optimization of the digital therapy program.

2. A digital therapy system for chronic pain according to claim 1, characterized in that: The expert information terminal (2) is composed of an entry module, a prescription module and a communication module; the entry module provides expert registration and login functions; the prescription module allows medical experts (7) to interact with the cloud digital therapy engine (1) to establish and maintain digital prescriptions; the communication module provides communication services between doctors and patients to achieve one-to-one remote diagnosis and treatment services.

3. A digital therapy system for chronic pain according to claim 1, characterized in that: The patient information terminal (3) is composed of two modules: prescription determination and prescription execution. The prescription determination module allows the patient to present the main complaint of the disease, and the system diagnoses the patient based on the main complaint and gives a suitable digital prescription. The prescription execution module is used by the patient (8) during treatment, including parameter transmission and control of the treatment equipment, text or video guidance of the treatment process, and feedback on the effect after treatment.

4. A digital therapy system for chronic pain according to claim 1, characterized in that: The system also includes a terminal database (9), in which the data of the digital therapy terminal management subsystem (5) is stored. The digital therapy terminal management subsystem (5) includes a terminal management module and an information interaction module. The terminal management module completes the registration, deletion, login, logout and authority management functions of the patient information terminal (3), and has the function of collecting statistics and rewarding the work results of the expert information terminal (2); the information interaction module completes one-to-one or one-to-many multimedia interaction between patients to clarify the condition, determine the digital prescription, and save the interaction information in the terminal management database (9).

5. A digital therapy system for chronic pain according to claim 1, characterized in that: It also includes a program database (10), in which the data of the digital therapy program management subsystem (6) is stored. The digital therapy program management subsystem (6) includes the following functional modules: a. a pain model establishment module, which establishes the pain model in a structured or unstructured manner; b. a digital prescription establishment and iteration module, in which a medical expert (7) establishes a one-to-one digital prescription for a specific pain model through an expert information terminal (2) and saves it in the program database (10). When a digital prescription is selected by a patient, the patient's (8) treatment feedback will also be recorded in the program database (10). When the treatment feedback of a digital prescription reaches a certain number, the digital therapy terminal management subsystem (5) iterates the digital prescription based on the treatment feedback evaluation, and the iteration includes abandonment, revision of parameters and recommendation for use.

6. A digital therapy system for chronic pain according to claim 1, characterized in that: The cloud-based digital therapy engine (1) is established on a public cloud or a private cloud or even a local area network as needed to provide services for customers with different needs.

7. A digital therapy system for chronic pain according to claim 1, characterized in that: The expert information terminal (2) software is a computer program in various packaged forms, including mini-programs or APPs, which is installed on the mobile phone, tablet computer, laptop or desktop computer of the medical expert (7) for use.

8. A digital therapy system for chronic pain according to claim 1, characterized in that: The patient information terminal (3) software is a computer program in various packaged forms, including mini-programs or APPs, which is installed on the patient's (8) mobile phone, tablet computer, laptop or desktop computer for use.

9. A digital therapy system for chronic pain according to claim 1, characterized in that: The treatment execution device (4) is a medical device or training device that has a therapeutic effect on chronic pain, including but not limited to a magnetic resonance thermal therapy device, a microwave therapy device, an ultrashort wave therapy device, a spectrum therapy device, and a fascia gun.

10. A digital therapy system for chronic pain according to claim 1, characterized in that: Patients can obtain digital prescriptions through: a. Directly interacting with medical experts who hold expert information terminals (2); b. Interacting with the cloud-based digital therapy engine (1).

11. A digital therapy system for chronic pain according to claim 1, characterized in that: The operating environment of the cloud digital therapy engine (1), the expert information terminal (2) and the patient information terminal (3) is various computer operating systems including but not limited to Windows, Linux, Unix, various database management systems including but not limited to SQL Server, Mysql, Oracle, and software development languages ​​including but not limited to C++, Java, Python.

Images