Medical load system

Abstract

To provide a medical load system capable of shortening a time since finish of previous rehabilitation and examination until next rehabilitation and examination are started, for more efficiently executing rehabilitation and examination.SOLUTION: A heart rehabilitation support system 10 being one of medical load systems comprises: multiple biological information acquisition terminals (input boxes 23) for acquiring respective pieces of biological information of multiple patients and radio transmitting them; multiple portable information terminals (tablet terminal 100) each of which has a display part and an operation part, is radio connected to one or more biological information acquisition terminals, and is radio connected to one or more load units 21; and a management database unit 300 for sending pieces of patient information of the multiple patients to the multiple information terminals. The management database unit can associate the pieces of patient information of the multiple patients to be transmitted to the multiple information terminals with each information terminal and display them on a single screen, and transmits the pieces of patient information of the multiple patients to the multiple information terminals before start of next rehabilitation.SELECTED DRAWING: Figure 1

Description

[Technical field]

[0001] The present disclosure relates to medical loading systems. [Background technology]

[0002] One type of medical stress system is cardiac rehabilitation (hereinafter "rehabilitation" may be abbreviated as "rehab"). Cardiac rehabilitation is performed, for example, through exercise therapy for patients with angina pectoris, patients after PCI (Percutaneous Coronary Intervention), and patients with heart failure, with the aim of extending life expectancy and improving exercise tolerance.

[0003] Cardiac rehabilitation is mainly performed in rehabilitation rooms set up exclusively for rehabilitation in hospitals and other facilities. Exercise stress devices such as medical treadmills and ergometers are installed in the rehabilitation rooms. Patients undergoing cardiac rehabilitation are fitted with electrocardiograms and blood pressure monitors. Medical professionals such as doctors, physical therapists, and nurses manage the operation of cardiac rehabilitation and evaluate the performance of cardiac rehabilitation based on the patient's biological information acquired by the electrocardiogram and blood pressure monitor.

[0004] Devices for managing rehabilitation exercise results are disclosed in, for example, Patent Documents 1 and 2.

[0005] Patent Document 1 proposes a rehabilitation management device that analyzes exercise information from rehabilitation exercises performed by patients and manages the overall history of the motor functions of multiple patients. Patent Document 2 proposes a rehabilitation support device that makes it easy to understand whether the evaluation values ​​of many rehabilitation evaluation items are improving overall, are unchanged, or are getting worse by going back to a desired point in time. [Prior art documents] [Patent documents]

[0006] [Patent Document 1] JP 2005-352686 A [Patent Document 2] JP 2010-108430 A Summary of the Invention [Problem to be solved by the invention]

[0007] When conducting cardiac rehabilitation, for example, a group is made up of eight patients, each of whom is assigned an exercise stress machine such as a treadmill or ergometer, and all eight patients undergo rehabilitation at the same time.

[0008] Incidentally, in the cardiac rehabilitation support system, prior to cardiac rehabilitation, patient information (which may also be called patient attributes) of the patient undergoing rehabilitation is transmitted from the management database device to the monitoring device.

[0009] In the cardiac rehabilitation support system capable of simultaneously controlling multiple patients as described above, the management database device transmits patient information to the monitoring device one by one. Therefore, when eight patients are to be treated at the same time, the patient information for all eight patients is transmitted in sequence.

[0010] Therefore, after eight patients have undergone cardiac rehabilitation at the same time, the patient information for the next eight patients undergoing rehabilitation is transmitted in succession, which has the drawback that it takes time between the end of cardiac rehabilitation and the start of the next cardiac rehabilitation.

[0011] The present disclosure has been made in consideration of the above points, and provides a medical loading system that can shorten the time required from the end of one rehabilitation or examination to the start of the next rehabilitation or examination, thereby enabling rehabilitation or examination to be performed more efficiently. [Means for solving the problem]

[0012] One aspect of the medical loading system of the present disclosure includes: a plurality of biometric information acquisition terminals that acquire and wirelessly transmit biometric information of a plurality of patients; a plurality of portable information terminals each having a display unit and an operation unit, each wirelessly connected to one or more of the biometric information acquisition terminals and each wirelessly connected to one or more load devices; a management database device for transmitting patient information of the plurality of patients to the plurality of information terminals; Equipped with The management database device includes: The patient information of the plurality of patients to be transmitted to the plurality of information terminals can be linked to each information terminal and displayed on one screen, Patient information of the plurality of patients is transmitted to the plurality of information terminals before the next or subsequent rehabilitation session. Effect of the Invention

[0013] According to the present disclosure, the management database device enables centralized management of patient information for multiple patients, thereby shortening the time required from the end of one rehabilitation or examination to the start of the next rehabilitation or examination, and enabling rehabilitation and examinations to be carried out more efficiently. [Brief description of the drawings]

[0014] [Figure 1] FIG. 1 is a schematic diagram showing the overall configuration of a cardiac rehabilitation support system according to an embodiment. [Diagram 2] FIG. 13 is a diagram showing an example of a home screen displayed on a display unit of the management database device. [Diagram 3] FIG. 13 is a diagram showing an example of a collective attribute notification screen displayed on the display unit of the management database device. [Figure 4] A diagram showing an example of the screen used to create the batch attribute notification screen shown in Figure 3. [Diagram 5] A diagram showing an example of the screen used to create the batch attribute notification screen shown in Figure 3. DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS

[0015] Hereinafter, embodiments of the present disclosure will be described in detail with reference to the drawings.

[0016] <1. System configuration> 1 is a schematic diagram showing the overall configuration of a cardiac rehabilitation support system 10 according to an embodiment of the present disclosure. Cardiac rehabilitation differs from musculoskeletal rehabilitation in which rehabilitation is performed for each patient in turn (performed one-on-one between a medical professional and a patient), in that a medical professional can perform rehabilitation for multiple patients simultaneously while monitoring the biological information (e.g., ECG) and exercise records of multiple patients.

[0017] The cardiac rehabilitation support system 10 includes a tablet terminal 100. A plurality of individual units 20-1, 20-2 are connected to the tablet terminal 100. In the example of Fig. 1, two individual units 20-1, 20-2 are connected to the tablet terminal 100, but this is not limited thereto. For example, the number of individual units connected to the tablet terminal 100 may be one, or three or more.

[0018] In the example of Fig. 1, only one tablet terminal 100 is shown for the sake of simplicity, but the cardiac rehabilitation support system 10 may have a plurality (n) of tablet terminals 100. In the following description, a group consisting of one tablet terminal 100 and its subordinate individual units 20-1 and 20-2 will be referred to as a unit 101. Thus, the cardiac rehabilitation support system 10 generally has n unit units 101-1 to 101-n.

[0019] The cardiac rehabilitation support system 10 of this embodiment is assumed to have n=4, that is, four basic units 101. Therefore, the cardiac rehabilitation support system 10 has 2×4=8 individual units and can simultaneously perform cardiac rehabilitation for eight patients.

[0020] Each of the individual units 20-1 and 20-2 has a load device 21, a load controller 22, an input box 23, and a blood pressure monitor 24 as components.

[0021] As shown in the figure, the load device 21 is, for example, an ergometer. Alternatively, the load device 21 may be another device, such as a treadmill. The load device 21 operates based on a control signal from a load controller 22. Furthermore, information on the operating state of the load device 21, for example information on the number of revolutions of the pedals of the ergometer, is sent from the load device 21 to the load controller 22.

[0022] The input box 23 is a device that inputs biological information of a patient undergoing cardiac rehabilitation and transmits the biological information wirelessly. The input box 23 is housed, for example, in a dedicated bag accompanying the patient. The input box 23 inputs the ECG and SpO2 of the patient during or after rehabilitation.

[0023] Specifically, the input box 23 is connected to a lead wire connected to an electrode for ECG measurement worn by the patient. The input box 23 is also connected to a lead wire connected to a probe for SpO2 measurement worn by the patient. In this way, the input box 23 inputs an ECG signal and an SpO2 signal via a wire. The input box 23 converts the ECG signal and the SpO2 signal input via a wire into a digital signal and transmits it wirelessly to the tablet terminal 100. The tablet terminal 100 has a function of analyzing an ECG, and for example performs an arrhythmia analysis and displays the analysis result.

[0024] In this embodiment, the tablet terminal 100 and the input box 23 wirelessly communicate with each other using a communication method that complies with the BLE (Bluetooth Low Energy) standard. The tablet terminal 100 and the input box 23 are in a relationship in which the tablet terminal 100 is a central (parent device) and the input box 23 is a peripheral (child device).

[0025] It should be noted that the input box 23 differs from a medical telemeter in terms of the frequency band and communication method used. In this embodiment, by using the input box 23 that uses the Bluetooth (registered trademark) communication method, it is possible to easily connect to the tablet terminal 100 without the user having to perform a connection setting operation as in the case of a medical telemeter. In this embodiment, biological information such as ECG data, which has conventionally been sent to a management terminal by wire, is wirelessly transmitted to the tablet terminal 100 using the input box 23 that uses Bluetooth communication.

[0026] The sphygmomanometer 24 is a so-called automatic sphygmomanometer, and measures the blood pressure of a patient during or after cardiac rehabilitation. The sphygmomanometer 24 operates based on a control signal from the load controller 22. In addition, the blood pressure measurement result is sent from the sphygmomanometer 24 to the load controller 22. The sphygmomanometer 24 is placed on, for example, a cart.

[0027] In this embodiment, the blood pressure monitor 24 is a so-called R-wave synchronous automatic blood pressure monitor. A more detailed description will be given. The blood pressure monitor 24 measures blood pressure by the Liberaloch-Korotkoff method. The blood pressure monitor 24 inflates a cuff wrapped around the upper arm of the patient to a target pressure, and then depressurizes the cuff at a constant speed. The Korotkoff sounds generated during the depressurization process are detected by a microphone attached to the cuff. The cuff pressure when the Korotkoff sounds begin to be heard is detected as the systolic blood pressure, and the cuff pressure when the Korotkoff sounds disappear is detected as the diastolic blood pressure.

[0028] Timing information of the R waves detected by the input box 23 or the tablet terminal 100 is input to the sphygmomanometer 24 via the AP 30 and the load controller 22, and the sphygmomanometer 24 uses this timing information of the R waves to remove Korotkoff sound noise and measure blood pressure.

[0029] Here, the load device 21 and the sphygmomanometer 24 are wired to the load controller 22 using an input / output interface conforming to the RS232C standard. The load device 21 and the sphygmomanometer 24 may be connected to the load controller 22 using an input / output interface conforming to another standard.

[0030] The cardiac rehabilitation support system 10 has an access point (AP) 30 of a wireless LAN (Local Area Network). The load controllers 22 of the individual units 20-1 and 20-2 and the tablet terminal 100 are wirelessly connected to the AP 30. In the embodiment, four individual units 101, that is, four tablet terminals 100 and eight load controllers 22 are wirelessly connected to the AP 30. Note that the wireless LAN in this specification may be read as Wi-Fi (registered trademark). Here, Wi-Fi is a communication technology conforming to the IEEE 802.11 standard, as is well known.

[0031] In addition, the AP 30 is connected by wire to the centralized control and monitoring device 200 and the management database device 300 via a hub 40 .

[0032] The tablet terminal 100 is used during cardiac rehabilitation by medical professionals such as doctors, physical therapists, and nurses who manage cardiac rehabilitation. The tablet terminal 100 has a display unit, an operation input unit, a calculation unit, and a wireless communication unit. The tablet terminal 100 is wirelessly connected to the input box 23 using Bluetooth wireless technology, and biological information from the input box 23 is sent to the tablet terminal 100 wirelessly using Bluetooth.

[0033] The centralized control and monitoring device 200 is realized, for example, by installing dedicated software on a personal computer, and collectively displays information acquired by a plurality of (e.g., n=4) tablet terminals 100. This allows the centralized control and monitoring device 200 to collectively display the biological information of a plurality of (e.g., 8) patients undergoing cardiac rehabilitation. The centralized control and monitoring device 200 is also capable of sending commands to the load device 21 and blood pressure monitor 24, etc., and is also capable of sending these commands to the tablet terminals 100.

[0034] In this way, the centralized control and monitoring device 200 transmits control signals to the blood pressure monitor 24 in addition to the load device 21 via the tablet terminal 100, and receives blood pressure information from the blood pressure monitor 24 in addition to biometric information from the input box 23 via the tablet terminal 100.

[0035] The management database device 300 is realized, for example, by installing dedicated software on a personal computer, and stores and analyzes the biometric information from the tablet terminal 100. The management database device 300 also has a function of editing the biometric information data, and can also provide comprehensive information.

[0036] For example, rehabilitation data for today can be compared with rehabilitation data from one month ago in the management database device 300. In addition, a printer (not shown) is connected to the management database device 300, making it possible to print reports using the printer.

[0037] The management database device 300 also stores patient information (which may be called patient attributes) of patients undergoing rehabilitation. The patient information includes the patient's name, age, sex, patient ID, etc. The management database device 300 also stores information such as the rehabilitation implementation date, the rehabilitation period (number of days), the rehabilitation appointment date, and which tablet terminal 300 will be used for the rehabilitation.

[0038] Here, an outline of the operation of the cardiac rehabilitation support system 10 will be described.

[0039] When the medical staff operates the tablet terminal 100, a control signal corresponding to the operation is sent to the load controller 22, and the load of the load device 21 and the operation of the sphygmomanometer 24 are controlled.

[0040] The load controller 22 functions as a relay that converts data so that the format of data exchanged between the tablet terminal 100 and the load device 21 and the sphygmomanometer 24 is suitable for each interface. For example, the load controller 22 converts a control signal from the tablet terminal 100 into control data suitable for the interface (i.e., RS232C) of each of the load device 21 and the sphygmomanometer 24, and transmits it to each of the load device 21 and the sphygmomanometer 23. The load controller 22 also converts data input from the load device 21 and the sphygmomanometer 24 into data suitable for wireless LAN, and outputs the data to the AP 30.

[0041] Biometric information of the patient input into the input box 23 during or after the operation of the load device 21 is transmitted to the tablet terminal 100 and displayed on the tablet terminal 100. The measurement results of the sphygmomanometer 24 are also transmitted to the tablet terminal 100 via the load controller 22 and AP 30 and displayed on the tablet terminal 100. Furthermore, the measurement results from the sphygmomanometer 24 are sent to the centralized control and monitoring device 200 via the tablet terminal 100.

[0042] As a result, the biological information obtained by the subordinate individual units 20-1 and 20-2 is displayed on the tablet terminal 100. The medical staff can change the load of the load device 21 or stop the operation of the load device 21 by operating the tablet terminal 100 while looking at the displayed biological information.

[0043] Moreover, the biological information obtained by the plurality of unit units 101-1 to 101-n is aggregated and displayed in the aggregate control and monitoring device 200. This allows a user of the aggregate control and monitoring device 200 to collectively view the biological information obtained by the plurality of unit units 101-1 to 101-n. Moreover, the management database device 300 stores the biological information obtained by the plurality of unit units 101-1 to 101-n.

[0044] In this embodiment, a tablet terminal 100 with a small screen size is capable of displaying the biometric information of a small number of people and controlling the load devices 21 of a small number of people, while a stationary aggregated control and monitoring device 200 with a large screen size is capable of displaying aggregated biometric information of a large number of people and controlling the load devices 21 of a large number of people.

[0045] In addition, in this embodiment, the tablet terminal 100 and the input box 23 are wirelessly connected, so medical staff can move around and manage cardiac rehabilitation while monitoring the condition of multiple patients without having to worry about wires. In addition, because Bluetooth communication is used for the wireless connection, the wireless connection is easy to operate, and the number of patients to be managed can also be easily changed.

[0046] 2. Processing of Patient Information by Management Database Device 300 Next, the processing of patient information by the management database device 300 according to this embodiment will be described.

[0047] Before cardiac rehabilitation, the management database device 300 transmits patient information to the tablet terminals 100. The patient information transmitted to each tablet terminal 100 is the patient information of a patient linked to the respective tablet terminal 100. This patient information may be transmitted directly to the tablet terminal 100, or may be transmitted via the centralized control and monitoring device 200.

[0048] The management database device 300 includes an information storage unit for storing information such as patient information, a display unit, an operation unit, a transmission / reception interface, and the like.

[0049] 2 shows an example of a home screen displayed on the display unit of the management database device 300. A list of all patients is displayed on the home screen. Furthermore, when, for example, a "Today's Appointments" key is operated, a list of patients who have appointments for today is displayed. Cardiac rehabilitation order information is sent to the management database device 300 from an electronic medical record system (not shown). The "Today's Appointments" patient list is created by the user of the management database device 300 based on this order information, etc.

[0050] Here, the order (priority) of patients to be displayed may follow the following rules, for example.

[0051] Rule 1. Rehabilitation in progress: Recent rehabilitation start time Rule 2. The next reservation date is today or earlier, and the most recent reservation date is displayed first. (Note that if the next reservation date is tomorrow or later, the display will follow the conditions of rules 3 and 4 regardless of the reservation time.) Rule 3. Rehabilitation performance data is available and the most recent rehabilitation implementation time is listed first. Rule 4. Without rehabilitation performance data, in ascending order of ID number

[0052] The order according to the above rules 1 to 4 can be said to be the order in which rehabilitation appointments are most likely to be made, and by displaying the patient list in the order according to the above rules 1 to 4, it becomes easier for the user to select the next patient for an appointment from the patient list.

[0053] FIG. 3 shows an example of a collective attribute notification screen displayed on the display unit of the management database device 300. As shown in FIG.

[0054] A patient list is displayed on the left side of the screen, and the right side displays the correspondence between the tablet terminals 100 to which the information is to be sent in bulk and the patient information. When the user operates the "attribute notification" key K1, the patient information is sent in bulk to each tablet terminal 100 (tablets 1 to 4 in the figure).

[0055] As a result, information about a plurality of patients is notified collectively to the respective tablet terminals 100, thereby shortening the time required to notify the patient information.

[0056] The management database device 300 links the patient information of multiple patients to be sent to multiple tablet terminals 100 to each tablet terminal 100 and displays it on one screen, so that the user can link the patient information of the next patient undergoing rehabilitation to the tablet terminal 100 on a single screen while the previous rehabilitation is being performed, thereby improving work efficiency.

[0057] This shortens the time required between the end of one rehabilitation session and the start of the next, making cardiac rehabilitation more efficient.

[0058] Figures 4 and 5 show example screens leading up to the creation of a collective attribute notification screen like that shown in Figure 3. Figure 4 shows the initial screen. For example, if the user selects "Tablet 1" and then selects a patient from the "Patient List", the patient information for that patient is linked to "Tablet 1". Also, as shown in Figure 5, when the user operates the "Today's Orders" key K2, only patients who have appointments for today are displayed in the "Patient List". This allows the user to select the patient to be assigned to "Tablet 1" from the narrowed-down patient list, making patient assignment easier.

[0059] When cardiac rehabilitation is actually performed, patient information and biological information of the patient are transmitted from the multiple tablet terminals 100 to the centralized control and monitoring device 200 .

[0060] <3. Summary> As described above, according to this embodiment, the medical load system (cardiac rehabilitation support system 10) comprises a plurality of biometric information acquisition terminals (input boxes 23) that acquire and wirelessly transmit the biometric information of each of a plurality of patients, a plurality of portable information terminals (tablet terminals 100) each having a display unit and an operation unit, each of which is wirelessly connected to one or more biometric information acquisition terminals (input boxes 23) and each of which is wirelessly connected to one or more load devices 22, and a management database device 300 that transmits patient information of a plurality of patients to the plurality of information terminals (tablet terminals 100), and the management database device 300 is capable of linking the patient information of a plurality of patients to be transmitted to the plurality of information terminals (tablet terminals 100) to each information terminal (tablet terminal 100) and displaying it on one screen, and transmits the patient information of a plurality of patients to the plurality of information terminals (tablet terminals 100) before the next or subsequent rehabilitation sessions.

[0061] This reduces the time required to notify the patient information because multiple pieces of patient information are collectively notified to the corresponding tablet terminals 100. This reduces the time required from the end of one rehabilitation session to the start of the next, thereby realizing the cardiac rehabilitation support system 10 that enables more efficient cardiac rehabilitation.

[0062] The above-described embodiment is merely an example of the embodiment of the present invention, and the technical scope of the present invention should not be interpreted as being limited by the embodiment. In other words, the present invention can be embodied in various forms without departing from the gist or main characteristics of the present invention.

[0063] In the above embodiment, the case where the centralized control and monitoring device 200 is provided has been described. However, for example, when a small-scale system is constructed, the centralized control and monitoring device 200 may be omitted.

[0064] In the above embodiment, the input box 23 and the tablet terminal 100 perform wireless communication conforming to the BLE communication standard, but the present invention is not limited to the BLE communication standard and can be widely applied to wireless communication conforming to the Bluetooth communication standard. Furthermore, the types of wireless communication methods between the tablet terminal 100 and the input box 23, the load controller 22, and the centralized control and monitoring device 200 are not limited to those in the above embodiment.

[0065] 1 is also an example, and can be modified as appropriate. The medical stress system of the present disclosure is not limited to cardiac rehabilitation support systems, and can also be applied to, for example, cardiac stress testing systems.

[0066] The tablet terminal 100 of the present disclosure means a portable information terminal capable of wireless communication that has a display unit, an operation unit, and a signal processing unit. For example, a smartphone having a screen large enough to display biological information such as ECG of multiple patients is included in the portable information terminal capable of wireless communication of the present disclosure. [Industrial Applicability]

[0067] The present disclosure is widely applicable to medical loading systems that perform cardiac rehabilitation and examinations on multiple patients at the same time. [Explanation of symbols]

[0068] 10. Cardiac rehabilitation support system 20-1, 20-2 Individual units 21 Load device 22 Load Controller 23 Input Box 24 Blood Pressure Monitor 30 Access Points (AP) 40 Hub 100 tablet devices 101-1~101-n Unit 200 Integrated control and monitoring equipment 300 Management database device

Claims

1. a plurality of biometric information acquisition terminals that acquire and wirelessly transmit biometric information of a plurality of patients; a plurality of portable information terminals each having a display unit and an operation unit, each wirelessly connected to one or more of the biometric information acquisition terminals and each wirelessly connected to one or more load devices; a management database device for transmitting patient information of the plurality of patients to the plurality of information terminals; Equipped with The management database device includes: The patient information of the plurality of patients to be transmitted to the plurality of information terminals can be linked to each information terminal and displayed on one screen, Transmitting patient information of the plurality of patients to the plurality of information terminals before the next or subsequent rehabilitation sessions. Medical Loading Systems.

2. The management database device includes: Transmitting patient information of the plurality of patients collectively to the plurality of information terminals before the next or subsequent rehabilitation sessions. The medical loading system according to claim 1 .

3. an aggregation control and monitoring device that transmits control signals to the load devices via the information terminals and receives biological information from the biological information acquisition terminals via the information terminals; The patient information and the biological information are transmitted from the plurality of information terminals to the centralized control and monitoring device. The medical loading system according to claim 1 or 2.

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