Intelligent deep vein puncture real-time monitoring and feedback system

Abstract

An intelligent deep venipuncture real-time monitoring and feedback system comprises an information acquisition unit, an information processing unit and a feedback unit, wherein the information acquisition unit is used for acquiring deep venipuncture information; the management machine is used for processing and analyzing the data acquired by the information acquisition unit and feeding back a data machine instruction at the same time; the cloud HIS data center is connected with the management machine through a hospital intranet, integrates outpatient service, hospitalization, electronic medical records, LIS, medicine consumables and material management systems, realizes clinical full-process closed-loop management, and meets business requirements of different institutions; the signal transceiver is used for carrying out data exchange with the cloud HIS data center through a hospital intranet LAN (Local Area Network); the system is novel in structure, an alarm is given when the guide wire is not exposed out of the tail end of the catheter before puncture, the risk of deep vein puncture is reduced, an alarm signal can be transmitted to the mobile receiver through the management machine, and the mobile terminal equipment, a nurse station central management platform, a ward information screen and a corridor screen conduct multi-directional early warning.

Description

Technical Field

[0001] The present invention relates to the technical field of deep vein puncture and catheterization for medical critical emergency rescue, and in particular to an intelligent deep vein puncture real-time monitoring and feedback system. Background Art

[0002] Deep vein puncture is a medical technique frequently used in critical care medicine and anesthesiology. The main purpose of deep vein puncture is to place one end of an infusion catheter into a large deep vein of the patient in order to quickly infuse large amounts of fluid. The main difficulty lies in finding the location of the vein and the puncture process. In order to introduce the infusion catheter into the patient's body, the Seldinger puncture method is currently commonly used clinically, that is, the infusion catheter is inserted with the help of a metal guide wire. The standard operating procedure requires that after the front end of the catheter contacts the patient's skin, before entering the patient's body, the end of the guide wire must be exposed to the end of the catheter to facilitate subsequent withdrawal of the guide wire.

[0003] In actual operation, doctors usually insert the guidewire as deep as possible into the patient's vein to prevent it from accidentally slipping out of the blood vessel during operation, resulting in catheterization failure. However, due to factors such as the uncertainty of the catheter length, the limited length of the guidewire, and the varying depths of the patient's veins, sometimes the doctor proceeds to the next catheterization operation before the end of the guidewire is exposed. In this case, after completing all operations, the end of the guidewire will still not be exposed. In this case, the guidewire will most likely be left in the patient's body, resulting in serious medical accidents and losses to both the doctor and the patient.

[0004] The existing technology mainly prevents misoperations caused by incorrect puncture position and depth to avoid adverse consequences. The above-mentioned guidewire withdrawal problem does not belong to routine misoperation. The probability of this problem is low, but the consequences are extremely serious. Although the problem of guidewire not being properly withdrawn from the patient's body can be avoided by designing a clinical manual inspection process and repeated checks. However, there is always a risk of failure in the manual process. In addition, the base number of deep vein puncture operations is large, and guidewire retention incidents occur from time to time. Each occurrence will cause serious consequences and is not conducive to the treatment of patients. Summary of the invention

[0005] In view of the above situation, in order to overcome the defects of the prior art, the present invention provides an intelligent deep vein puncture real-time monitoring and feedback system, which effectively solves the problem of the prior art that it mainly prevents misoperations caused by incorrect puncture position and depth, and avoids adverse consequences. The above-mentioned guide wire withdrawal problem does not belong to conventional misoperation. The probability of this problem occurring is low, but the consequences are extremely serious. Although the problem of the guide wire not being normally withdrawn from the patient's body can be avoided by designing a clinical manual inspection process and repeatedly checking. However, there is always a risk of failure in the manual process. In addition, the base number of deep vein puncture operations is very large, and guide wire retention incidents occur from time to time. Each occurrence will cause serious consequences and is not conducive to the treatment of patients.

[0006] To achieve the above object, the present invention provides the following technical solution: The present invention includes:

[0007] Information collection unit: used for collecting deep vein puncture information;

[0008] Management machine: used to process and analyze the data collected by the above information collection unit, and provide feedback on the instructions of the data machine;

[0009] Cloud HIS data center: connected to the above management machines through the hospital intranet, integrating outpatient, inpatient, electronic medical records, LIS, drug consumables, and material management systems, realizing closed-loop management of the entire clinical process and meeting the business needs of different institutions;

[0010] Signal transceiver: used to exchange data with the cloud HIS data center through the hospital intranet LAN;

[0011] Mobile receiver: used to receive feedback information from the cloud HIS data center controlled by the management machine;

[0012] Mobile devices: exchange data with the cloud HIS data center via WIFI and display the feedback information from the management machine;

[0013] Central management platform of the nurse station: real-time presentation of the patient status on each floor, real-time update of ward information, patient information query, nursing staff task scheduling, shift scheduling, shift handover management, nursing focus reminders, follow-up execution, dynamic tracking of patients, medical staff and in-hospital equipment, announcement release, risk control early warning reminders, infusion monitoring and early warning reminders.

[0014] According to the above technical solution: the cloud HIS data center adopts a microservice architecture, meets the information management requirements of medical insurance designated points, and is based on the HSAF framework to meet the intelligent management characteristics of scalability, strong compatibility, and easy maintenance.

[0015] According to the above technical solution: the cloud HIS data center includes a data storage layer, a data exchange layer, a data management layer and a data sharing layer.

[0016] According to the above technical solution: the data storage layer includes the data storage of the main business database and the business backup database of each application system, and uses AlwaysOn technology to realize the special applications of high availability, high load and read-write separation of back-end data; the data exchange layer provides data exchange, data conversion, data distribution and data incremental processing for the production data center and the medical data center to ensure the timeliness, consistency and integrity of the data; the data management layer provides daily management functions for the data of the production data center and the medical data center, including storage and access, data routing and data mart management services; the data sharing layer provides data sharing and statistical analysis services for the medical cloud itself and third parties, including big data application services provided for innovative development, and the technical method supports multiple interface types, including background SQL interface, Web service interface and Rest-API interface.

[0017] According to the above technical solution: the mobile receiver is a watch, and the mobile terminal device is a mobile phone or a mobile display screen.

[0018] According to the above technical solution: the management machine is also connected to the ward information screen, the pager and the corridor screen, and a status detection module is also installed in the management machine, which is used to formulate logical rules based on the key information collected by the information collection unit and the process understanding information, and judge the guidewire status according to the logical rules. If the end of the guidewire does not expose the catheter and / or the guidewire withdrawal is not detected, an alarm is issued.

[0019] According to the above technical solution: the information acquisition unit is composed of a video acquisition module, an ultrasonic device and various sensors.

[0020] Beneficial effects: The present invention provides an intelligent deep vein puncture real-time monitoring and feedback system, which includes: an information collection unit: used for collecting deep vein puncture information; a management machine: used for processing and analyzing the data collected by the above-mentioned information collection unit, and at the same time providing feedback on the instructions of the data machine; a cloud HIS data center: connected to the above-mentioned management machine through the hospital intranet, integrating outpatient, inpatient, electronic medical record, LIS, drug consumables, and material management systems, realizing closed-loop management of the entire clinical process, and meeting the business needs of different institutions; a signal transceiver: used for exchanging data with the cloud HIS data center through the hospital intranet LAN; a mobile receiver: used for receiving feedback information sent by the cloud HIS data center controlled by the management machine; a mobile terminal device: exchanging data with the cloud HIS data center through WIFI, and displaying the feedback information of the management machine; a central management platform of a nurse station: real-time presentation of the patient status of each floor, real-time update of ward information, patient information query, nursing staff task scheduling, shift scheduling, shift handover management, nursing focus prompts, tracking execution, dynamic tracking of patients, medical staff and in-hospital instruments and equipment, announcement release, risk control early warning prompts, infusion monitoring and early warning prompts. The present invention collects various key information during deep vein puncture by using an information collection unit, and the key information includes the position of key objects, the state of key objects and the doctor's hand movements, wherein the key objects include guide wires, catheters, medical devices and patient skin, and then uses a state detection module to formulate logical rules based on video key information and process understanding information, and judges the state of the guide wire according to the logical rules. When the catheter is about to enter the patient's body, and the end of the guide wire has not yet exposed the catheter, an alarm is triggered. If the puncture has been performed, and the guide wire is not detected to be withdrawn after the puncture is completed, an alarm will also be triggered. Whether the guide wire before the puncture does not expose the catheter end or the guide wire is not detected to be withdrawn after the puncture, an alarm will be triggered, especially the alarm when the guide wire before the puncture does not expose the catheter end, which reduces the risk of deep vein puncture. The alarm can transmit the alarm signal to the mobile receiver, the central management platform of the mobile terminal device nurse station, the ward information screen and the corridor screen through the management machine for multi-directional early warning. BRIEF DESCRIPTION OF THE DRAWINGS

[0021] The accompanying drawings are used to provide a further understanding of the present invention and constitute a part of the specification. Together with the embodiments of the present invention, they are used to explain the present invention and do not constitute a limitation of the present invention. In the accompanying drawings:

[0022] Figure 1 It is a schematic diagram of the overall process structure of the present invention;

[0023] Figure 2 It is a structural schematic diagram of the information acquisition unit of the present invention. DETAILED DESCRIPTION

[0024] The following is combined with Figure 1-2 The specific implementation modes of the present invention are described in further detail.

[0025] Embodiment 1, by Figure 1-2 The present invention provides an intelligent deep vein puncture real-time monitoring and feedback system, comprising:

[0026] Information collection unit: used for collecting deep vein puncture information, the key information collected includes: the location of key objects, the status of key objects and the doctor's hand movements, wherein the key objects include guide wires, catheters, medical devices and patient skin;

[0027] Management machine: used to process and analyze the data collected by the above information collection unit, and provide feedback on the instructions of the data machine;

[0028] Cloud HIS data center: connected to the above management machines through the hospital intranet, integrating outpatient, inpatient, electronic medical records, LIS, drug consumables, and material management systems, realizing closed-loop management of the entire clinical process and meeting the business needs of different institutions;

[0029] Signal transceiver: used to exchange data with the cloud HIS data center through the hospital intranet LAN;

[0030] Mobile receiver: used to receive feedback information from the cloud HIS data center controlled by the management machine;

[0031] Mobile devices: exchange data with the cloud HIS data center via WIFI and display the feedback information from the management machine;

[0032] Central management platform of the nurse station: real-time presentation of the patient status on each floor, real-time update of ward information, patient information query, nursing staff task scheduling, shift scheduling, shift handover management, nursing focus reminders, follow-up execution, dynamic tracking of patients, medical staff and in-hospital equipment, announcement release, risk control early warning reminders, infusion monitoring and early warning reminders.

[0033] The cloud HIS data center adopts a microservice architecture, meets the information management requirements of medical insurance designated points, and is based on the HSAF framework to meet the intelligent management characteristics of scalability, strong compatibility, and easy maintenance.

[0034] The cloud HIS data center includes a data storage layer, a data exchange layer, a data management layer and a data sharing layer.

[0035] The data storage layer includes the data storage of the main business database and the business backup database of each application system, and uses AlwaysOn technology to realize the special applications of high availability, high load and read-write separation of back-end data; the data exchange layer provides data exchange, data conversion, data distribution and data incremental processing for the production data center and the medical data center to ensure the timeliness, consistency and integrity of the data; the data management layer provides daily management functions for the data of the production data center and the medical data center, including storage and access, data routing and data mart management services; the data sharing layer provides data sharing and statistical analysis services for the medical cloud itself and third parties, including big data application services for innovative development, and the technical method supports multiple interface types, including background SQL interface, Web service interface and Rest-API interface.

[0036] The mobile receiver is a watch, and the mobile terminal device is a mobile phone or a mobile display screen.

[0037] The management machine is also connected to a ward information screen, a pager and a corridor screen. A status detection module is also installed in the management machine, which is used to formulate logical rules based on the key information collected by the information collection unit and the process understanding information, and judge the guidewire status according to the logical rules. If the end of the guidewire does not expose the catheter and / or the guidewire withdrawal is not detected, an alarm is issued.

[0038] The information acquisition unit is composed of a video acquisition module, an ultrasonic device and various sensors.

[0039] An embodiment of the present invention also provides a computer-readable storage medium on which a computer program is stored. When the computer program is executed by a processor, the various processes of the above-mentioned deep vein puncture guidewire video monitoring method embodiment are implemented, and the same technical effect can be achieved. To avoid repetition, it will not be repeated here.

[0040] Computer-readable storage media include: permanent and non-permanent, removable and non-removable media, which are tangible devices that can retain and store instructions for use by instruction execution devices. Computer-readable storage media include: electronic storage devices, magnetic storage devices, optical storage devices, electromagnetic storage devices, semiconductor storage devices, and any suitable combination of the above.

[0041] Computer-readable storage media include: phase change memory (PRAM), static random access memory (SRAM), dynamic random access memory (DRAM), other types of random access memory (RAM), read-only memory (ROM), non-volatile random access memory (NVRAM), electrically erasable programmable read-only memory (EEPROM), flash memory or other memory technology, compact disk read-only memory (CD-ROM), digital versatile disk (DVD) or other optical storage, magnetic cassette storage, magnetic tape disk storage or other magnetic storage devices, memory sticks, mechanical encoding devices (such as punched cards or raised structures in grooves with instructions recorded thereon) or any other non-transmission medium that can be used to store information that can be accessed by a computing device. According to the definition in the embodiment of the present invention, computer-readable storage media do not include temporary signals themselves, such as radio waves or other freely propagating electromagnetic waves, electromagnetic waves propagating through waveguides or other transmission media (such as light pulses passing through optical fiber cables), or electrical signals transmitted through wires.

[0042] Beneficial effects: The present invention provides an intelligent deep vein puncture real-time monitoring and feedback system, which includes: an information collection unit: used for collecting deep vein puncture information; a management machine: used for processing and analyzing the data collected by the above-mentioned information collection unit, and at the same time providing feedback on the instructions of the data machine; a cloud HIS data center: connected to the above-mentioned management machine through the hospital intranet, integrating outpatient, inpatient, electronic medical record, LIS, drug consumables, and material management systems, realizing closed-loop management of the entire clinical process, and meeting the business needs of different institutions; a signal transceiver: used for exchanging data with the cloud HIS data center through the hospital intranet LAN; a mobile receiver: used for receiving feedback information sent by the cloud HIS data center controlled by the management machine; a mobile terminal device: exchanging data with the cloud HIS data center through WIFI, and displaying the feedback information of the management machine; a central management platform of a nurse station: real-time presentation of the patient status of each floor, real-time update of ward information, patient information query, nursing staff task scheduling, shift scheduling, shift handover management, nursing focus prompts, tracking execution, dynamic tracking of patients, medical staff and in-hospital instruments and equipment, announcement release, risk control early warning prompts, infusion monitoring and early warning prompts. The present invention collects various key information during deep vein puncture by using an information collection unit, and the key information includes the position of key objects, the state of key objects and the doctor's hand movements, wherein the key objects include guide wires, catheters, medical devices and patient skin, and then uses a state detection module to formulate logical rules based on video key information and process understanding information, and judges the state of the guide wire according to the logical rules. When the catheter is about to enter the patient's body, and the end of the guide wire has not yet exposed the catheter, an alarm is triggered. If the puncture has been performed, and the guide wire is not detected to be withdrawn after the puncture is completed, an alarm will also be triggered. Whether the guide wire before the puncture does not expose the catheter end or the guide wire is not detected to be withdrawn after the puncture, an alarm will be triggered, especially the alarm when the guide wire before the puncture does not expose the catheter end, which reduces the risk of deep vein puncture. The alarm can transmit the alarm signal to the mobile receiver, the central management platform of the mobile terminal device nurse station, the ward information screen and the corridor screen through the management machine for multi-directional early warning.

[0043] Through the personnel in this field, all the electrical components in this case are connected to their corresponding power supplies through wires, and appropriate controllers and encoders should be selected according to actual conditions to meet the control requirements. The specific connection and control sequence should refer to the following working principle, and the electrical connection between the electrical components is completed in the order of working in sequence. The detailed connection means are well-known technologies in this field. The following mainly introduces the working principles and processes, and no longer explains the electrical control.

[0044] Finally, it should be noted that the above description is only a preferred embodiment of the present invention and is not intended to limit the present invention. Although the present invention has been described in detail with reference to the aforementioned embodiments, those skilled in the art can still modify the technical solutions described in the aforementioned embodiments or replace some of the technical features therein by equivalents. Any modification, equivalent replacement, improvement, etc. made within the spirit and principle of the present invention shall be included in the protection scope of the present invention.

Claims

1. An intelligent deep vein puncture real-time monitoring and feedback system, characterized in that: include: Information collection unit: used for collecting deep vein puncture information; Management machine: used to process and analyze the data collected by the above information collection unit, and provide feedback on the instructions of the data machine; Cloud HIS data center: connected to the above management machines through the hospital intranet, integrating outpatient, inpatient, electronic medical records, LIS, drug consumables, and material management systems, realizing closed-loop management of the entire clinical process and meeting the business needs of different institutions; Signal transceiver: used to exchange data with the cloud HIS data center through the hospital intranet LAN; Mobile receiver: used to receive feedback information from the cloud HIS data center controlled by the management machine; Mobile devices: exchange data with the cloud HIS data center via WIFI and display the feedback information from the management machine; Central management platform of the nurse station: real-time presentation of the patient status on each floor, real-time update of ward information, patient information query, nursing staff task scheduling, shift scheduling, shift handover management, nursing focus reminders, follow-up execution, dynamic tracking of patients, medical staff and in-hospital equipment, announcement release, risk control early warning reminders, infusion monitoring and early warning reminders.

2. The intelligent deep vein puncture real-time monitoring and feedback system according to claim 1, characterized in that: The cloud HIS data center adopts a microservice architecture, meets the information management requirements of medical insurance designated points, and is based on the HSAF framework to meet the intelligent management characteristics of scalability, strong compatibility, and easy maintenance.

3. The intelligent deep vein puncture real-time monitoring and feedback system according to claim 2, characterized in that: The cloud HIS data center includes a data storage layer, a data exchange layer, a data management layer and a data sharing layer.

4. The intelligent deep vein puncture real-time monitoring and feedback system according to claim 3, characterized in that: The data storage layer includes the data storage of the main business database and the business backup database of each application system, and uses AlwaysOn technology to realize the special applications of high availability, high load and read-write separation of back-end data; the data exchange layer provides data exchange, data conversion, data distribution and data incremental processing for the production data center and the medical data center to ensure the timeliness, consistency and integrity of the data; the data management layer provides daily management functions for the data of the production data center and the medical data center, including storage and access, data routing and data mart management services; the data sharing layer provides data sharing and statistical analysis services for the medical cloud itself and third parties, including big data application services for innovative development, and the technical method supports multiple interface types, including background SQL interface, Web service interface and Rest-API interface.

5. The intelligent deep vein puncture real-time monitoring and feedback system according to claim 4, characterized in that: The mobile receiver is a watch, and the mobile terminal device is a mobile phone or a mobile display screen.

6. The intelligent deep vein puncture real-time monitoring and feedback system according to claim 1, characterized in that: The management machine is also connected to a ward information screen, a pager and a corridor screen. A status detection module is also installed in the management machine, which is used to formulate logical rules based on the key information collected by the information collection unit and the process understanding information, and judge the guidewire status according to the logical rules. If the end of the guidewire does not expose the catheter and / or the guidewire withdrawal is not detected, an alarm is issued.

7. The intelligent deep vein puncture real-time monitoring and feedback system according to claim 1, characterized in that: The information acquisition unit is composed of a video acquisition module, an ultrasonic device and various sensors.

8. An electronic device, comprising a bus, a transceiver, a memory, a processor, and a computer program stored in the memory and executable on the processor, wherein the transceiver, the memory, and the processor are connected via the bus, wherein: When the computer program is executed by the processor, the steps of the deep vein puncture guidewire video monitoring method as described in any one of claim 1 are implemented.

9. A computer-readable storage medium having a computer program stored thereon, characterized in that: When the computer program is executed by a processor, the steps of a deep vein puncture guidewire video monitoring method as described in any one of claim 1 are implemented.

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