Intelligent integration method of patch-type semi-permanent external pacemaker and hospital central monitoring system and multi-bed centralized management system

Abstract

A kind of patch type semi-permanent external pacemaker and the intelligent integration method of hospital central monitoring system and multi-bed centralized management system, comprising: establishing the network architecture of global coverage in hospital including three-layer communication architecture, including: first equipment layer, second gateway layer and third service layer;First equipment layer contains patch type semi-permanent external pacemaker;Second gateway layer carries out gateway coverage to patient activity area;The integration engine of third service layer collects data from each gateway, and distributes to each net point;Patch type semi-permanent external cardiac pacemaker of first equipment layer carries out real-time transmission to gateway of second gateway layer, and is distributed to each net point of hospital central monitoring system via the integration engine of third service layer.This application realizes the continuous transmission of pacemaker data when patient is free in hospital, real-time alarm, historical data standardization archiving and multi-bed centralized visual management, effectively cope with the challenge brought by the expansion of patient activity range and regular replacement patch belt.

Description

Technical Field

[0001] This invention relates to the field of medical device technology, specifically to an intelligent integration method and a multi-bed centralized management system for a patch-type semi-permanent external pacemaker with a hospital central monitoring system. The method employs intelligent integration of a patch-type semi-permanent external pacemaker (PSPEP) with a hospital central monitoring system, an electronic medical record system (EMR / HIS), and a nurse call system, supporting a system architecture and alarm linkage for centralized management of patch-type external pacemakers in multiple beds. Background Technology

[0002] Compared to traditional bedside fixed external pacemakers, patch-type semi-permanent external pacemakers face entirely new challenges in hospital information system integration: (1) Signal management challenges brought about by the expansion of the patient's activity range: Patients with patch-type devices can move freely in the hospital, including leaving the bedside to go to the examination room, rehabilitation training area or bathroom area. When the patient is active, the low-power Bluetooth BLE communication distance between the device and the bedside fixed gateway may exceed the standard BLE effective range (approximately the effective BLE communication distance range, depending on obstruction). It is necessary to design a network architecture that covers the entire hospital area to ensure that the pacemaker status of the patient can be continuously tracked by the monitoring system at any location in the hospital; (2) Continuity management of patch replacement equipment: Since the lifespan of button battery power is approximately the preset continuous working time, patients may need to replace patches (replace with new equipment) during treatment. When replacing patches, it is necessary to ensure the continuity of historical data (seamless connection of data between old and new equipment) and the automatic identification and pairing of the new equipment to avoid data gaps in the central monitoring system due to equipment replacement; (3) Joint tracking of in-hospital activity trajectory and pacemaker status: When a patient with a patch device leaves the ward, medical staff should be able to continuously monitor the patient's pacemaker status at the central monitoring station and quickly locate the patient's current location when a pacemaker alarm occurs, so as to respond in a timely manner; (4) Pacemaker data island problem: Existing external temporary pacemakers (such as Medtronic 5392) do not have wireless communication capabilities and cannot automatically enter the EMR or central monitoring system; (5) Alarm coverage problem: The alarm of traditional external pacemakers is limited to the local buzzer. When the patient is moving around in the hospital, the alarm cannot reach the nurse station. (6) Lack of centralized management of multiple beds: There is no system in the world that supports centralized monitoring of multiple patch-type external pacemakers. Summary of the Invention

[0003] The technical problem to be solved by the present invention is to address the above-mentioned defects in the prior art by providing an intelligent integration method and a multi-bed centralized management system for a patch-type semi-permanent external pacemaker with a hospital central monitoring system. This method enables continuous transmission of pacemaker data, real-time alarm response, standardized archiving of historical data, and centralized visual management of multiple beds while patients are moving freely within the hospital. It can effectively address the challenges of continuous equipment management brought about by the expansion of patients' activity range and the regular replacement of patches.

[0004] According to a first aspect of the present invention, a method for intelligent integration of a patch-type semi-permanent external pacemaker with a hospital central monitoring system is provided, comprising: The steps for building a hospital-wide coverage network are as follows: Establish a hospital-wide coverage network architecture with a three-layer communication architecture, which includes: a first device layer, a second gateway layer, and a third service layer; the first device layer includes a patch-type semi-permanent external pacemaker; the second gateway layer provides gateway coverage for the patient's activity area; the third service layer includes an integration engine, which receives data from each gateway, processes it according to a predetermined format, and distributes it to various points of the hospital's central monitoring system. Data transmission steps: The patch-type semi-permanent external pacemaker at the first device layer transmits data in real time to the gateway at the second gateway layer, and distributes it to various points of the hospital's central monitoring system via the integration engine at the third service layer.

[0005] Preferably, in the real-time pacemaker data transmission step, the patch-type semi-permanent external pacemaker in the first device layer sends encrypted data containing the device's unique identifier and pacing status data to the second gateway layer.

[0006] Preferably, the patch-type semi-permanent external pacemaker transmits data to the gateway according to the following low-power optimization strategy: The batch transmission strategy is executed, in which the pacing ratio data, impedance data and sensing quality data of the preset batch transmission interval are packaged, compressed and transmitted at one time, and the BLE transmission channel is closed immediately after the transmission is completed. A real-time status heartbeat packet is transmitted once every preset stable confirmation interval, sending a heartbeat packet containing only the device status code, current pacing ratio, and battery level; When the device detects any warning or alarm event, it bypasses the bulk transmission policy and immediately pushes a structured alarm data packet to the nearest gateway.

[0007] Preferably, the intelligent integration method of the patch-type semi-permanent external pacemaker with the hospital central monitoring system further includes: when the first patch-type semi-permanent external pacemaker is activated, associating and binding its device UDI QR code with the patient's unique bed identification code, and storing the binding information in the integration engine; when the battery level of the first patch-type semi-permanent external pacemaker is lower than a predetermined battery threshold, transferring the data stored in the first patch-type semi-permanent external pacemaker to a backup storage device; when the second patch-type semi-permanent external pacemaker is activated and associated with the patient's unique bed identification code associated with the activation of the first patch-type semi-permanent external pacemaker, integrating the data of the first patch-type semi-permanent external pacemaker and the second patch-type semi-permanent external pacemaker together to form time-continuous pacemaker data associated with the patient's unique bed identification code.

[0008] Preferably, the intelligent integration method of the patch-type semi-permanent external pacemaker with the hospital's central monitoring system further includes: displaying the data from the patch-type semi-permanent external pacemaker on the central monitoring station. Pacemaker status icon, current pacing rate, resting pacing ratio, lead impedance status, motor development index score, patient's current location, and remaining battery power; Patient activity trajectory view; and Alarm information.

[0009] Preferably, the intelligent integration method of the patch-type semi-permanent external pacemaker with the hospital central monitoring system further includes one or more of the following processes: Using the HL7 FHIR data model, the pacing data generated by PSPEP is mapped to the standard FHIR resource format; Automatic archiving is triggered based on preset trigger conditions; Execute a complete pacing therapy report based on preset reporting conditions and a preset continuous working duration.

[0010] Preferably, the intelligent integration method of patch-type semi-permanent external pacemakers with the hospital's central monitoring system further includes: using a multi-bed patch-type pacemaker centralized management platform to centrally display comprehensive data of all active patch-type semi-permanent external pacemakers in the same ward.

[0011] According to a second aspect of the present invention, a multi-bed centralized management system based on a patch-type semi-permanent external pacemaker and a hospital central monitoring system is provided. The patch-type semi-permanent external pacemaker is powered by a button battery and is attached to the skin of the patient's anterior chest. The multi-bed centralized management system includes: an in-hospital full-coverage network architecture, comprising: a first device layer, a second gateway layer, and a third service layer; the first device layer includes the patch-type semi-permanent external pacemaker; the second gateway layer provides gateway coverage for the patient's activity area; and the third service layer includes an integration engine for receiving data from each gateway, processing it according to a predetermined format, and distributing it to various points within the hospital central monitoring system.

[0012] Preferably, in the first device layer, the patch-type semi-permanent external pacemaker sends encrypted data containing the device's unique identifier and pacing status data to the second gateway layer; the second gateway layer adopts a multi-point distributed BLE access gateway architecture, covering the patient's activity area according to the effective BLE communication radius of each PSPEP device, and each gateway is connected to the hospital's local area network; in the third service layer, the integration engine receives data from each gateway, processes it according to a predetermined format, and distributes it to various points of the hospital's central monitoring system.

[0013] Preferably, the patch-type semi-permanent external pacemaker transmits data to the gateway according to the following low-power optimization strategy: The batch transmission strategy is executed, in which the pacing ratio data, impedance data and sensing quality data of the preset batch transmission interval are packaged, compressed and transmitted at one time, and the BLE transmission channel is closed immediately after the transmission is completed. A real-time status heartbeat packet is transmitted once every preset stable confirmation interval, sending a heartbeat packet containing only the device status code, current pacing ratio, and battery level; When the device detects any warning or alarm event, it bypasses the bulk transmission policy and immediately pushes a structured alarm data packet to the nearest gateway.

[0014] Preferably, when the first patch-type semi-permanent external pacemaker is activated, its device UDI QR code is associated and bound with the patient's unique bed identification code, and the binding information is stored in the integration engine; when the battery of the first patch-type semi-permanent external pacemaker is lower than a predetermined battery threshold, the data stored in the first patch-type semi-permanent external pacemaker is transferred to a backup storage device; when the second patch-type semi-permanent external pacemaker is activated and associated and bound to the patient's unique bed identification code associated with the activation of the first patch-type semi-permanent external pacemaker, the data of the first patch-type semi-permanent external pacemaker and the second patch-type semi-permanent external pacemaker are integrated together to form pacemaker data that is time-continuous and associated with the patient's unique bed identification code.

[0015] The intelligent integration method and multi-bed centralized management system of the patch-type semi-permanent external pacemaker and the hospital central monitoring system according to the present invention can realize continuous transmission of pacemaker data, real-time alarm response, standardized archiving of historical data and centralized visual management of multiple beds when patients move freely in the hospital. It can effectively cope with the challenges of continuous equipment management brought about by the expansion of patients' activity range and regular patch replacement. Attached Figure Description

[0016] To more clearly illustrate the specific embodiments of the present invention or the technical solutions in the prior art, the drawings used in the description of the specific embodiments or the prior art will be briefly introduced below. Obviously, the drawings described below are some embodiments of the present invention. For those skilled in the art, other drawings can be obtained from these drawings without creative effort.

[0017] Figure 1 A schematic flowchart of the overall process for intelligent integration of a patch-type semi-permanent external pacemaker with a hospital central monitoring system according to a preferred embodiment of the present invention is shown.

[0018] Figure 2 The diagram schematically illustrates a three-tiered network architecture for central monitoring in a multi-bed centralized management system according to a preferred embodiment of the present invention.

[0019] It should be noted that the accompanying drawings are for illustrative purposes only and are not intended to limit the invention. Note that the drawings illustrating structures may not be drawn to scale. Furthermore, in the drawings, identical or similar elements are labeled with the same or similar reference numerals. Detailed Implementation

[0020] To make the objectives, technical solutions, and advantages of the embodiments of the present invention clearer, the technical solutions of the embodiments of the present invention will be clearly and completely described below with reference to the accompanying drawings. Obviously, the described embodiments are only some embodiments of the present invention, not all embodiments. Based on the embodiments of the present invention, all other embodiments obtained by those skilled in the art without creative effort are within the scope of protection of the present invention. Furthermore, the technical features involved in the different embodiments of the present invention described below can be combined with each other as long as they do not conflict with each other.

[0021] Figure 1 A schematic flowchart illustrates the overall process of intelligent integration of a patch-type semi-permanent external pacemaker with a hospital central monitoring system according to a preferred embodiment of the present invention. Figure 1 As shown, the intelligent integration method of a patch-type semi-permanent external pacemaker with a hospital central monitoring system according to a preferred embodiment of the present invention includes: In-hospital full-coverage network construction step S1: Establish an in-hospital full-coverage network architecture with a three-layer communication architecture, including: a first device layer, a second gateway layer, and a third service layer; the first device layer includes a patch-type semi-permanent external pacemaker; the second gateway layer provides gateway coverage for the patient's activity area; the third service layer includes an integration engine, which collects data from each gateway, processes it according to a predetermined format, and distributes it to various points of the hospital's central monitoring system.

[0022] The pacemaker adopts a miniaturized patch-like form similar to a patch-type dynamic electrocardiogram recorder, is powered by a button battery, and is attached to the patient's chest skin. It is designed to have a service life of no less than the preset continuous working time, and its waterproof rating is no less than the preset waterproof rating. Patients can move freely in the hospital, including going out for examinations and showering. It is particularly suitable for various ward scenarios such as ICU / CCU / general ward.

[0023] More specifically, in the subsequent real-time pacemaker data transmission step S2, the patch-type semi-permanent external pacemaker in the first device layer sends encrypted data containing the device's unique identifier and pacing status data to the second gateway layer; the second gateway layer adopts a multi-point distributed BLE access gateway architecture, covering the patient's activity area according to the effective BLE communication radius of each PSPEP device, and each gateway is connected to the hospital's local area network; in the third service layer, the integration engine receives data from each gateway, processes it according to a predetermined format, and distributes it to various points of the hospital's central monitoring system.

[0024] Specifically, for example Figure 2 As shown, in the first device layer, the patch-type external pacemaker sends data to the second gateway layer via the BLE 5.x protocol. The communication uses AES encryption, and the data includes the device's unique identifier and pacing status data. Low-power Bluetooth BLE transmission employs a batch intermittent transmission strategy (data batch transmission is performed once every preset batch transmission interval, with real-time push notifications for emergency alarms) to reduce the consumption of the coin cell battery by BLE transmission.

[0025] For example, Figure 2 As shown, the second gateway layer implements multi-point deployment. Unlike traditional bedside fixed gateways, this invention adopts a "multi-point distributed BLE access gateway" architecture. In hospital areas where patients may visit, such as ward corridors, examination rooms, rehabilitation areas, and bathroom areas, gateway coverage is planned according to the effective BLE communication radius of each PSPEP device (typical values: not less than the preset open communication distance in open environments, and not less than the preset obstruction communication distance in obstructed environments). This ensures that when a patient is anywhere in the hospital, their PSPEP device is within the coverage range of at least one BLE gateway. Each gateway is uniformly connected to the hospital's wired / wireless LAN and has a local caching function (≥24-hour data caching), automatically retransmitting data after network recovery.

[0026] For example, Figure 2 As shown, in the third service layer, the hospital integration engine receives data from each gateway, processes it according to a predetermined format, and distributes it to: (a) the central monitoring workstation; (b) the EMR / HIS system; (c) the nurse call system; and (d) the multi-bed centralized management platform. Furthermore, for patient location awareness, when the BLE signal of the PSPEP device is received by multiple gateways simultaneously, the approximate location of the patient is estimated (accurate to the ward / floor level) through the RSSI (signal strength) triangulation algorithm, and the patient's current location is displayed on the central management platform, assisting nurses in quickly locating patients in emergency situations.

[0027] Furthermore, communication security can be enhanced, with all layers of communication using TLS encryption; patient data storage complies with HIPAA (USA) and the Personal Information Protection Law (China); and the system complies with the FDA Cybersecurity Guidance (2023) requirements for medical device cybersecurity.

[0028] Data transmission step S2: The patch-type semi-permanent external cardiac pacemaker at the first device layer performs real-time data transmission to the gateway at the second gateway layer, and distributes the data to various points of the hospital's central monitoring system via the integration engine at the third service layer.

[0029] Preferably, in the real-time data transmission step S2 of the pacemaker, the patch-type semi-permanent external pacemaker in the first device layer sends encrypted data containing the device's unique identifier and pacing status data to the second gateway layer.

[0030] Preferably, the patch-type semi-permanent external pacemaker transmits data to the gateway according to one or a combination of the following low-power optimization strategies: (a) Batch data transmission (executed once every preset batch transmission interval): The pacing ratio data, impedance data and sensing quality data of the past preset batch transmission interval are packaged and compressed and transmitted at once. After the transmission is completed, the BLE transmission channel is immediately shut down to reduce the consumption of button battery during long-term BLE operation. (b) Real-time status heartbeat (executed once every preset stable confirmation interval, with extremely low data volume): Sends a heartbeat packet containing only the device status code (normal / warning / alarm), current pacing ratio (1 byte), and battery level (1 byte) (total data volume does not exceed the preset heartbeat packet data volume limit), enabling the central monitoring system to maintain basic awareness of the device status at a low power cost; (c) Real-time push of alarm events (event triggered, delay not exceeding the preset alarm push delay limit): When the device detects any warning / alarm event, it immediately pushes a structured alarm data packet to the nearest gateway, bypassing the batch transmission strategy and ensuring zero-delay alarm delivery; (d) Replacement reminder pre-transmission: When the remaining battery power of the patch-type semi-permanent external cardiac pacemaker is expected to be less than 5 days, a "planned replacement" flag is sent to the system in advance, triggering the central management platform to remind medical staff to arrange patch replacement to ensure the continuity of pacing treatment.

[0031] This invention can also perform continuous device management for patch replacement. Specifically, in a preferred embodiment, the intelligent integration method of a patch-type semi-permanent external pacemaker with a hospital central monitoring system according to a preferred embodiment of the present invention further includes: when the first patch-type semi-permanent external pacemaker is activated, associating and binding its device UDI QR code with the patient's unique bed identification code, and storing the binding information in an integration engine; when the battery level of the first patch-type semi-permanent external pacemaker is lower than a predetermined battery threshold (e.g., a predetermined battery percentage), transferring the data stored in the first patch-type semi-permanent external pacemaker to a backup storage device; when the second patch-type semi-permanent external pacemaker is activated and associated with the patient's unique bed identification code associated with the activation of the first patch-type semi-permanent external pacemaker, integrating the data of the first patch-type semi-permanent external pacemaker and the second patch-type semi-permanent external pacemaker together to form time-continuous pacemaker data associated with the patient's unique bed identification code.

[0032] Specifically, it can perform continuous management of patch replacement equipment, and establish a continuous management mechanism for equipment replacement data to meet the special requirements of the replacement cycle for the preset continuous working time of button battery powered equipment: (a) Patient-device binding management: Each PSPEP device is automatically bound to the patient's bed unique identification code by scanning the device UDI QR code via the App when activated; the binding information is stored in the hospital integration engine to ensure that each patient may change multiple PSPEP devices (new device UDIs) during the entire treatment cycle, but the data is archived under the same patient record; (b) Data backup before replacement: When the PSPEP battery is low, historical data stored in the device (threshold test records within the preset continuous working time T_design, wire implantation date, and sensing parameter baseline) are transferred to the newly paired App via BLE to ensure that the historical parameters can be seamlessly inherited when the new device is activated. (c) Data integration between new and old devices: After the new PSPEP device is activated, the hospital integration engine will associate the new device UDI with the original patient records and merge the data records of the new device with the historical records of the old device in the central management platform and EMR to form a continuous pacing therapy timeline; (d) Replacement operation guidance push: When the patch replacement reminder is triggered, the App pushes a standardized patch replacement operation guide to medical staff, including: the handover operation process between the old and new patches (first paste the new patch, complete the lead reconnection and system pairing verification, and then remove the old patch), to ensure the continuity of the IS-1 lead connection with the device and avoid pacing interruption during the replacement process.

[0033] The present invention can also integrate a central monitoring station with a patient location display. Specifically, in a preferred embodiment, the intelligent integration method of a patch-type semi-permanent external pacemaker with a hospital central monitoring system according to a preferred embodiment of the present invention further includes: performing the following display on the central monitoring station based on data from the patch-type semi-permanent external pacemaker: (a) Central station display: Add a PSPEP-specific information card to the bed information area of ​​the existing central monitoring workstation to display: pacemaker status icon (color code: green / yellow / orange / red), current pacing rate, resting pacing ratio, lead impedance status, motor development index score, patient's current location (e.g., from RSSI location), and remaining battery power (in days). (b) Patient activity trajectory view: The central management platform provides a simplified schematic diagram of the patient's daily in-hospital activity trajectory (with ward-level accuracy), which, combined with pacemaker status time series data, helps medical staff to correlate changes in pacing parameters with patient activity during retrospective analysis; (c) Integration method: Data is connected to the central monitoring station via HL7 FHIR or HL7 v2.x interface; (d) Display of alarms at the central station: PSPEP alarms are presented in a visually striking manner (changing bed card color, flashing alarm icon and highlighting patient location), enabling nurses to understand the alarm level and the patient's current location at the same time; medical staff can remotely "confirm" the alarm at the central station, and the confirmation status is synchronously sent back to the patient's App.

[0034] This invention can also perform EMR / HIS structured data archiving. Specifically, in a preferred embodiment, the intelligent integration method of a patch-type semi-permanent external pacemaker with a hospital central monitoring system according to a preferred embodiment of the present invention further includes one or more of the following processes: Using the HL7 FHIR data model, the pacing data generated by PSPEP is mapped to the standard FHIR resource format; for example: - Device Resources: PSPEP device model, UDI, activation date, expiration date (the old device record will be automatically closed when the device is replaced); - Observation resources: results of each threshold test, time-series observations of lead impedance, time-series observations of full-range / resting pacing ratio, and time-series observations of PDI score; - DiagnosticReport resources: Daily comprehensive report, threshold test report, and system removal test report; - Equipment Replacement Event Log: Records the timestamp of each patch replacement and the correspondence between the old and new equipment UDIs; Automatic archiving is triggered based on preset conditions; for example: automatically uploading the previous day's daily report at 0:00 every day; archiving immediately after completing threshold testing; archiving immediately after an orange / red alarm occurs; and generating and archiving immediately when the attending physician generates a ward round report through the App. The system executes a complete pacing treatment report with a preset continuous working time based on preset reporting conditions. For example, when a patient completes patch semi-permanent pacing treatment (such as weaning or switching to permanent pacing), the system automatically generates a complete treatment summary report spanning multiple patch devices with a preset continuous working time. This report includes the complete pacing ratio trend, PDI evolution curve, threshold test history, alarm event statistics, and weaning assessment process, and is permanently stored in the EMR as a clinical record.

[0035] The present invention can also perform linkage operations with the nurse call system. Specifically, in a preferred embodiment, the intelligent integration method of the patch-type semi-permanent external pacemaker and the hospital central monitoring system according to the preferred embodiment of the present invention further includes: the patch-type semi-permanent external pacemaker sending alarm data to the integration engine via a gateway; the integration engine sending a trigger command to the nurse call system according to the alarm level, along with the patient's current location information.

[0036] For example, after PSPEP alarm data is transmitted to the hospital integration engine via the gateway, the integration engine sends a trigger command to the nurse call system according to the alarm level, along with the patient's current location information (from RSSI positioning): - Orange and above alarm levels: trigger the emergency call for the corresponding bed in the nurse call system, and simultaneously display "Bed X - Pacemaker Alarm, Patient Location: [Area Name]" on the nurse station display screen and the nurse wireless paging device, so that the nurse can immediately know the location that needs to be moved to; - Red level alarm: Triggers the highest priority nurse call and simultaneously sends an emergency message to the on-duty physician's call device, along with the patient's location information; Among them, the in-hospital roaming alarm coverage: when a patient leaves their bed area with the PSPEP device, the central management platform automatically updates the patient's current location, and the nurse call linkage notification message updates the patient's location information simultaneously, ensuring that no matter where the patient is in the hospital, the emergency alarm can accurately guide the nurse to the correct location.

[0037] The alarm escalation mechanism includes: if the nurse fails to confirm the PSPEP alarm within a predetermined time (the default is alarm confirmation timeout), the system will automatically escalate the alarm and send a message to the department director / attending physician on duty.

[0038] The false alarm suppression mechanism includes: when the same type of alarm is confirmed as "known and being processed" by medical staff within a consecutive preset batch transmission interval, the nurse's call will not be triggered again during that time period.

[0039] The present invention can also perform centralized management of multi-bed patch pacemakers. Specifically, in a preferred embodiment, the intelligent integration method of patch semi-permanent external pacemakers with a hospital central monitoring system according to the preferred embodiment of the present invention further includes: using a multi-bed patch pacemaker centralized management platform to centrally display comprehensive data of all active patch semi-permanent external pacemakers in the same ward.

[0040] For example, a multi-bed patch pacemaker centralized management platform is a dashboard system designed for the centralized management of multiple PSPEP devices, in which: (a) Platform architecture: running on a dedicated terminal on the hospital intranet (a sub-module that can be integrated into the central monitoring workstation), aggregating real-time data from all active PSPEP devices in the same ward; (b) Dashboard interface design: - Bed Overview View: Displays all active PSPEP beds in a grid. Each bed card displays: Patient ID, current PDI score (color-coded), resting pacing ratio (PP_rest), lead impedance status indicator, latest alarm status, remaining battery days (visually displayed as a color progress bar: >10 days green, 3–10 days yellow, <3 days red), and patient's current location (bedside / away). - Activity Status View: Displays the real-time activity status of all PSPEP patients in the hospital (which patients are in bed, which are in the examination room, and which are in the rehabilitation area), helping nurses to understand the distribution of multiple patients in the hospital; - Patch Replacement Plan View: Summarizes the estimated battery depletion dates of all PSPEP devices and displays the patch replacement plan within the future preset continuous working time T_design in a timeline format to help medical staff make arrangements in advance; - Trend Comparison View: Displays the PDI trend and resting pacing ratio trend of multiple beds simultaneously using a line chart; - Alarm aggregation view: All unprocessed alarms for all beds are arranged in chronological order, and one-click confirmation is supported; (c) Access Control: Nurse accounts can view all bed data and confirm alarms; attending physician accounts can also remotely adjust pacing parameters (requires dual authentication); department administrator accounts can view summary statistics and system configurations. (d) Offline caching and network outage protection: When the network is interrupted, each PSPEP device continues to operate locally, and bedside medical staff can still view real-time data through the patient-side App; cached data will be automatically re-uploaded after the network is restored.

[0041] This invention can also perform remote medical integration operations. Specifically, in a preferred embodiment, the intelligent integration method of a patch-type semi-permanent external pacemaker with a hospital central monitoring system according to a preferred embodiment of the present invention further includes: performing the following processing with the patient's authorization: (a) Attending physicians can view real-time PSPEP data and historical reports of their patients outside the hospital through a secure physician-side app (login with hospital account, with higher privileges); (b) Supports remote viewing of a combined view of the patient's daily in-hospital activities and pacemaker status; (c) Remote adjustment of key parameters (pacing rate, output voltage) must be performed with dual authentication and an operation log must be kept; a nurse must confirm at the patient's bedside before the adjustment can be performed. (d) Remote access data flows through the hospital VPN and does not pass through public cloud servers.

[0042] In a specific example, the present invention can be implemented using the following system configuration: (1) PSPEP device side BLE communication module: AES encrypted BLE 5.x communication, low power batch intermittent transmission strategy (data batch transmission every preset batch transmission interval T_batch, heartbeat packet every preset stable confirmation time, and real-time push of emergency alarm), powered by button battery, and the daily BLE communication power consumption ratio does not exceed the preset communication power consumption ratio limit. (2) Multi-point distributed BLE access gateway: Deployed according to the BLE coverage plan of the patient activity area in the hospital. Each gateway covers the effective BLE communication radius (not less than the preset obstruction communication distance in the obstructed environment). Each gateway has a local cache of more than 24 hours of data, supports network interruption resume transmission, and the firmware supports OTA update. (3) RSSI Patient Location Estimation Module: Using the BLE signal strength (RSSI) of PSPEP devices received simultaneously by multiple gateways, the location of the patient in the hospital is estimated through the triangulation algorithm (accuracy down to the ward / floor level), and the location information is reported to the centralized management platform in real time; (4) Hospital Integration Engine: Data format conversion (BLE proprietary format → HL7 FHIR), routing and distribution to the central monitoring station, EMR / HIS and nurse call system, equipment replacement data continuity management, alarm escalation logic execution; (5) PSPEP Central Management Platform: Multi-bed centralized monitoring dashboard, including five types of views: bed overview, activity status, patch replacement plan, trend comparison, and alarm aggregation; (6) EMR / HIS integrated interface: Supports HL7 FHIR R4 and HL7 v2.x, automatically archives PSPEP data, and supports continuous recording of patient treatment across multiple devices (multiple patch changes); (7) Nurse call system integration interface: supports integration with REST API or private protocol to realize joint push of pacemaker alarm and patient location; (8) Remote access App for physicians: Provides data viewing and parameter adjustment functions for physicians with hospital account authentication, accessible via hospital VPN.

[0043] The present invention has at least the following beneficial effects: (1) In-hospital full-coverage network architecture: By deploying multi-point distributed BLE gateways, the problem that patients with patch devices may exceed the coverage of a single bedside gateway when they move around in the hospital is solved, ensuring that the pacemaker status of patients can be continuously monitored at any location in the hospital. (2) Patient location awareness and alarm positioning: RSSI multi-gateway positioning enables nurses to know the patient's location immediately when they receive a PSPEP emergency alarm, significantly shortening the emergency response time; (3) Patch replacement data continuity management: It is specifically designed for the periodic replacement needs of button battery powered devices, ensuring seamless connection of data between old and new devices and continuous and complete historical records, solving the periodic device replacement scenario that cannot be handled in the existing temporary pacemaker information system; (4) Patch replacement plan view: Visualizes the expected battery depletion date for multiple patients, assisting medical staff in planning patch replacement work in advance and avoiding unexpected pacing interruption due to battery depletion; (5) Low-power BLE transmission strategy compatible with central monitoring: Under the constraint of button battery life, the continuous status perception required by central monitoring is realized through the hierarchical transmission strategy (batch data transmission + heartbeat packet + emergency real-time push), while the power consumption of BLE communication is controlled within the preset communication power consumption ratio limit of the daily total power consumption. (6) Preset continuous working time complete treatment report: Automatically generate a complete treatment summary report spanning multiple patch changes, filling the clinical gap of lack of systematic records in existing temporary pacing therapy.

[0044] In summary, the intelligent integration method of the patch-type semi-permanent external pacemaker with the hospital central monitoring system and the multi-bed centralized management system of the present invention can realize continuous transmission of pacemaker data, real-time alarm response, standardized archiving of historical data and centralized visual management of multiple beds when patients move freely in the hospital. It can effectively address the challenges of continuous equipment management brought about by the expansion of patients' activity range and the regular replacement of patches.

[0045] In the description of this invention, it should be noted that the terms "center", "upper", "lower", "left", "right", "vertical", "horizontal", "inner", "outer", etc., indicate the orientation or positional relationship based on the orientation or positional relationship shown in the accompanying drawings. They are only for the convenience of describing this invention and simplifying the description, and do not indicate or imply that the device or element referred to must have a specific orientation, or be constructed and operated in a specific orientation. Therefore, they should not be construed as limitations on this invention.

[0046] In the description of this invention, it should be noted that, unless otherwise explicitly specified and limited, the terms "installation," "connection," and "linking" should be interpreted broadly. For example, they can refer to a fixed connection, a detachable connection, or an integral connection; they can refer to a mechanical connection or an electrical connection; they can refer to a direct connection or an indirect connection through an intermediate medium; and they can refer to the internal connection of two components. Those skilled in the art can understand the specific meaning of the above terms in this invention according to the specific circumstances.

[0047] Furthermore, it should be noted that, unless otherwise specified, the terms "first," "second," "third," etc., in the specification are used only to distinguish the various components, elements, and steps in the specification, and are not used to indicate the logical or sequential relationships between the various components, elements, and steps.

[0048] Furthermore, although embodiments of the invention have been described in conjunction with the accompanying drawings, those skilled in the art can make various modifications and variations without departing from the spirit and scope of the invention, and such modifications and variations all fall within the scope defined by the appended claims.

Claims

1. A method for intelligent integration of a patch-type semi-permanent external pacemaker with a hospital central monitoring system, characterized in that... include: The steps for building a hospital-wide coverage network are as follows: Establish a hospital-wide coverage network architecture with a three-layer communication architecture, which includes: a first device layer, a second gateway layer, and a third service layer; the first device layer includes a patch-type semi-permanent external pacemaker; the second gateway layer provides gateway coverage for the patient's activity area; the third service layer includes an integration engine, which receives data from each gateway, processes it according to a predetermined format, and distributes it to various points of the hospital's central monitoring system. Data transmission steps: The patch-type semi-permanent external pacemaker at the first device layer transmits data in real time to the gateway at the second gateway layer, and distributes it to various points of the hospital's central monitoring system via the integration engine at the third service layer.

2. The intelligent integration method of the patch-type semi-permanent external pacemaker with the hospital central monitoring system according to claim 1, characterized in that, In the real-time data transmission step of the pacemaker, the patch-type semi-permanent external pacemaker in the first device layer sends encrypted data containing the device's unique identifier and pacing status data to the second gateway layer.

3. The intelligent integration method of the patch-type semi-permanent external pacemaker with the hospital central monitoring system according to claim 1, characterized in that, The patch-type semi-permanent external pacemaker transmits data to the gateway according to the following low-power optimization strategy: The batch transmission strategy is executed, in which the pacing ratio data, impedance data and sensing quality data of the preset batch transmission interval are packaged, compressed and transmitted at one time, and the BLE transmission channel is closed immediately after the transmission is completed. A real-time status heartbeat packet is transmitted once every preset stable confirmation interval, sending a heartbeat packet containing only the device status code, current pacing ratio, and battery level; When the device detects any warning or alarm event, it bypasses the bulk transmission policy and immediately pushes a structured alarm data packet to the nearest gateway.

4. The intelligent integration method of the patch-type semi-permanent external pacemaker with the hospital central monitoring system according to claim 1, characterized in that, The intelligent integration method of the patch-type semi-permanent external pacemaker with the hospital central monitoring system further includes: when the first patch-type semi-permanent external pacemaker is activated, associating and binding its device UDI QR code with the patient's unique bed identification code, and storing the binding information in the integration engine; when the battery level of the first patch-type semi-permanent external pacemaker is lower than a predetermined battery threshold, transferring the data stored in the first patch-type semi-permanent external pacemaker to a backup storage device; when the second patch-type semi-permanent external pacemaker is activated and associated with the patient's unique bed identification code associated with the activation of the first patch-type semi-permanent external pacemaker, integrating the data of the first patch-type semi-permanent external pacemaker and the second patch-type semi-permanent external pacemaker together to form time-continuous pacemaker data associated with the patient's unique bed identification code.

5. The intelligent integration method of the patch-type semi-permanent external pacemaker with the hospital central monitoring system according to claim 1, characterized in that... This also includes: data from patch-type semi-permanent external pacemakers displayed on the central monitoring station: Pacemaker status icon, current pacing rate, resting pacing ratio, lead impedance status, motor development index score, patient's current location, and remaining battery power; Patient activity trajectory view; and Alarm information.

6. The intelligent integration method of the patch-type semi-permanent external pacemaker with the hospital central monitoring system according to claim 1, characterized in that... It also includes one or more of the following processes: Using the HL7 FHIR data model, the pacing data generated by PSPEP is mapped to the standard FHIR resource format; Automatic archiving is triggered based on preset trigger conditions; Execute a complete pacing therapy report based on preset reporting conditions and a preset continuous working duration.

7. The intelligent integration method of the patch-type semi-permanent external pacemaker with the hospital central monitoring system according to claim 1, characterized in that... It also includes: using a multi-bed patch pacemaker centralized management platform to centrally display comprehensive data of all active patch semi-permanent external pacemakers in the same ward.

8. A multi-bed centralized management system based on a patch-type semi-permanent external pacemaker and a hospital central monitoring system, wherein the patch-type semi-permanent external pacemaker is powered by a button battery and is attached to the skin of the patient's anterior chest, characterized in that... The multi-bed centralized management system includes: an in-hospital full-coverage network architecture, which includes: a first device layer, a second gateway layer, and a third service layer; the first device layer includes a patch-type semi-permanent external pacemaker; the second gateway layer provides gateway coverage for the patient's activity area; the third service layer includes an integration engine, which receives data from each gateway, processes it according to a predetermined format, and distributes it to various points of the hospital's central monitoring system.

9. The multi-bed centralized management system according to claim 8, characterized in that, In the first device layer, the patch-type semi-permanent external pacemaker sends encrypted data containing the device's unique identifier and pacing status data to the second gateway layer. The second gateway layer adopts a multi-point distributed BLE access gateway architecture, covering the patient's activity area according to the effective BLE communication radius of each PSPEP device, and each gateway is connected to the hospital's local area network. In the third service layer, the integration engine receives data from each gateway, processes it according to a predetermined format, and distributes it to various points of the hospital's central monitoring system.

10. The multi-bed centralized management system according to claim 8, characterized in that, The patch-type semi-permanent external pacemaker transmits data to the gateway according to the following low-power optimization strategy: The batch transmission strategy is executed, in which the pacing ratio data, impedance data and sensing quality data of the preset batch transmission interval are packaged, compressed and transmitted at one time, and the BLE transmission channel is closed immediately after the transmission is completed. A real-time status heartbeat packet is transmitted once every preset stable confirmation interval, sending a heartbeat packet containing only the device status code, current pacing ratio, and battery level; When the device detects any warning or alarm event, it bypasses the bulk transmission policy and immediately pushes a structured alarm data packet to the nearest gateway.

11. The multi-bed centralized management system according to claim 8, characterized in that, When the first patch-type semi-permanent external pacemaker is activated, its device UDI QR code is associated and bound to the patient's unique bed identification code, and the binding information is stored in the integration engine. When the battery level of the first patch-type semi-permanent external pacemaker is lower than a predetermined battery threshold, the data stored in the first patch-type semi-permanent external pacemaker is transferred to a backup storage device. When the second patch-type semi-permanent external pacemaker is activated and associated and bound to the patient's unique bed identification code associated with the activation of the first patch-type semi-permanent external pacemaker, the data from the first patch-type semi-permanent external pacemaker and the second patch-type semi-permanent external pacemaker are integrated together to form time-continuous pacemaker data associated with the patient's unique bed identification code.

Images