SMART TRIAGE AND INTEGRATED REMOTE PATIENT MONITORING ECOSYSTEM

Abstract

This invention is a smart triage and patient monitoring ecosystem (10) developed to prevent emergency department congestion and monitor chronic patients. The system has an unmanned triage kiosk (20) with a thermal sensor (21) compliant with GDPR and an acoustic measurement hub (22) with a servo motor, digital microphone (24) that measures blood pressure, pulse, oxygen and respiration from blood flow (Korotkoff) sounds with FFT and EDR algorithms that eliminate optical disadvantages.

Description

1 TARIFF SMART TRIAGE AND INTEGRATED REMOTE PATIENT MONITORING ECOSYSTEM Technical Area This invention will help manage emergency department congestion in the healthcare sector and treat chronic patients remotely. It relates to medical devices and communication systems developed for monitoring purposes. Specifically, the invention autonomously determines the urgency of patients' conditions, instead of optical sensors. a device that prevents cross-infection by measuring vital signs using acoustic and thermal methods This system is integrated with an unmanned triage kiosk and an AI-powered smart chronic patient monitoring system. It relates to an integrated ecosystem that includes the bracelet. 10 State of the Art One of the biggest global problems experienced in hospital emergency departments is triage (patient (prioritization) is the excessive density in these areas. In traditional methods, patients face a vital 15-minute or vital sign in front of a nurse or healthcare professional. They are waiting in line to have their findings measured. This situation leads to an inability to determine the order of urgency correctly and quickly, and to critical situations that pose a life-threatening risk. patients are delayed in receiving treatment and sometimes lose their lives while waiting in line This is the reason. In current technology, blood pressure monitors used for measuring vital signs are usually made of cloth. 20 They include sleeves, while oximeter devices operate with optical sensors. Cloth cuffs are not hygienic because they are used by many patients and can cross-contamination. It carries a risk of infection. Optical sensor oximeters, on the other hand, detect light based on the patient's skin color, ambient light, or the shape of their finger. It can produce incorrect results due to the effect of nail polish. 25 Furthermore, systems that monitor chronic patients at home often follow hospital emergency room processes. It is not fully integrated with the system; in a crisis, when a patient arrives at the hospital, they are put back in the triage queue. He / She must enter. Purpose of the Invention 30 The primary goal of this invention is to reduce triage congestion and waiting times in emergency departments by 98%. by reducing the number of patients according to the international Manchester Triage Scale in medical literature. According to its algorithms, Red, Yellow and Green urgency levels are determined in a completely objective, equal and fair manner. to place them in their respective areas. Another purpose of the invention is to operate in accordance with the Personal Data Protection Law (KVKK), 35 It is a method of measuring body temperature remotely, without contact, using a thermal sensor, without recording facial features. 2 A key objective of the invention is to eliminate the disadvantages of optical sensors (skin color, nail polish, light effect). The goal is to develop an acoustic-based measurement hub to remove it. This allows us to listen to Korotkoff sounds coming from the veins, measuring systolic / diastolic blood pressure and pulse. The deep pressure fluctuations that occur in the blood vessels during breathing are measured and analyzed. By doing this, respiratory rate and blood oxygen level (SpO2) are calculated simultaneously. 5 Another aim of the invention is to create a measuring cup made of medical plastic that does not contain any fabric parts, and Integrated UV-C LED lights completely eliminate the risk of cross-infection. Another aim of the invention is to provide smart devices that enable 24 / 7 monitoring of high-risk chronic patients. The bracelets enable AI-powered retrospective analysis during crises and provide 10 data to the hospital system. By generating an integrated emergency referral QR code, the patient can go directly to the emergency room without waiting in line. The goal is to ensure that the patient receives treatment via a "bypass line". Explanation of the Figures The diagrams prepared to help better understand the invention are explained below: Figure 1: General flowchart of the integrated ecosystem that is the subject of the invention. 15 Figure 2: General perspective view of the unmanned triage kiosk unit. Figure 3: Cross-sectional view of the acoustic measurement housing and its internal components. Figure 4: Communication diagram of the smart bracelet and the cloud-based artificial intelligence analysis system. Reference Numbers 10. Ecosystem 20 20. Unmanned Triage Kiosk Unit 21. Infrared Thermal Camera Sensor 22. Acoustic Measurement Housing 23. Servo Motor Mechanism 24. Digital Microphone 25 25. UV-C LED Lights 26. Dynamic QR Code Output Unit 27. Control and Signal Processing Unit 30. Smart Chronic Patient Monitoring System 31. Smart Bracelet 30 32. Cloud Server 33. Artificial Intelligence Analysis Module 34. UV-C Sterilization Station 35 3 Detailed Description of the Invention The invention is designed to prevent emergency department congestion and optimize chronic patient monitoring. It is an improved smart triage and integrated remote patient monitoring ecosystem (10). This ecosystem (10) basically consists of two main parts: Unmanned triage kiosk unit (20) and smart chronic patient monitoring system (30). 5 Patients arriving at the hospital go directly to the unmanned triage kiosk unit (20). Infrared thermal camera sensor located inside the kiosk, fully compliant with GDPR regulations. (preferably AMG8833), an 8x8 pixel heat map without recording the patient's facial features. By removing the device, it takes the temperature measurement from a distance and without contact. Next, the patient places their finger into the acoustic measurement slot (22). The acoustic measurement slot (22) is 10 Made from hygienic medical plastic, free of any fabric particles. The servo motor mechanism integrated into the socket (23) micro-insertes the patient's finger. It applies a certain level of pressure and then performs a releasing motion. During this pressure change, the digital microphone (24) inside the housing (preferably INMP441 I2S), He listens to the sounds of blood flow in the veins, that is, the Korotkoff sounds. 15 These received acoustic signals are processed by the control and signal processing unit (27) using Fast Fourier The transformation (FFT) is processed using signal processing algorithms. Thanks to this analysis, the systolic blood pressure is determined at the moment the first sound is heard, and the diastolic blood pressure is determined at the moment the sound stops. The frequency of the sounds is recorded as the pulse. This acoustic method, unlike optical measurement methods, takes into account the patient's skin color and ambient light. Or it gives accurate results without being affected by the nail polish on your finger. Through the same acoustic data stream, the control and signal processing unit (27) EDR (ECG-Derived Using a Respiration-like deep pressure wave algorithm, breathing It analyzes the fluctuations that occur in the blood vessels during the procedure; thus, it determines the patient's blood pressure per minute. Respiratory rate and blood oxygen level (SpO2) are calculated simultaneously. 25 When the measurement is completed, the control and signal processing unit (27) reports the findings to the international By processing the patient's urgency status (Red, Yellow, etc.) using Manchester Triage Scale algorithms, It identifies (green) and generates a QR code via the dynamic QR code output unit (26). As soon as the patient withdraws their hand, ultraviolet UV-C LED lights located inside the acoustic measurement housing (22) (25) automatically activates and sterilizes the nest in seconds and prevents cross-infection 30 It eliminates the risk. In the smart chronic patient follow-up system, which is the second step of the system (30), high-risk patients, They are monitored 24 / 7 in their homes with a cost-optimized medical smart bracelet (31). When the smart bracelet (31) detects an anomaly in the patient's vital signs, it sends the data to the cloud. transfers to the server (32). The artificial intelligence analysis module (33) in the cloud server (32) transfers the patient's 35 4 It analyzes the situation retrospectively over the last 3 hours. If a medical crisis is detected, the system... It immediately sends a notification to the relevant physician and the patient's family. At the same time, the cloud server (32) generates a special QR code for emergency referral. The patient can take their own QR code to the hospital. When arriving by means of transportation or by ambulance, there is no need to enter the unmanned triage kiosk unit (20). Without delay, they are directly referred to an emergency physician using this QR code ("bypass line"). 5 The doctor sees the patient's data from the last 3 hours at home digitally in their system. Treatment The smart wristband of the patient whose process is completed (31) is in the UV-C sterilization station (34) installed in the hospital. It is disinfected, reset via the system, and safely assigned to a new patient. Sustainability is ensured. The ecosystem covered by the invention includes: state hospitals, private hospitals, polyclinics, and emergency medical services. all healthcare facilities such as stations, home care organizations and elderly care homes They are designed to be produced and used by being integrated into organizations. In conclusion, the solution aims to reduce congestion in hospital emergency departments and to treat chronic illnesses at home. It is an ecosystem designed to monitor patients remotely (10), and the patient remotely At least one infrared thermal camera sensor (21) that measures the temperature, where the patient's finger is placed acoustic measurement slot (22), dynamic QR code output unit that generates barcodes according to urgency. (26) and containing at least one control and signal processing unit (27) that processes data received from sensors. It has at least one unmanned triage kiosk unit (20). The unmanned triage kiosk unit (20) mentioned works integrated with the patient and monitors at least a smart bracelet (31), at least one cloud server to which the data is transferred (32) and anomaly situations 20 at least one smart chronic patient follower that includes at least one artificial intelligence analysis module (33) that analyzes The system includes (30). The aforementioned acoustic measurement slot (22) applies micro-level pressure to the patient's finger and to at least one servo motor mechanism that relaxes (23) and Korotkoff resulting from blood flow 25 At least one digital microphone (24) that detects their voices and transmits them to the control and signal processing unit (27) has. The mentioned control and signal processing unit (27) takes acoustic data from the digital microphone (24). by processing the data, it calculates blood pressure, pulse, respiratory rate, and blood oxygen level (SpO2). It has a signal processing (FFT and EDR) hardware and software architecture. After the measurement process, the inside of the acoustic measurement chamber (22) is automatically disinfected. 30 It contains ultraviolet UV-C LED lights (25) integrated into the housing (22) which enable it to be used. The mentioned cloud server (32) received analysis results from the artificial intelligence analysis module (33). Depending on the situation, an emergency referral allows the patient to be transferred directly to the treatment area in the emergency department. It has the software infrastructure to generate QR codes. Disinfecting smart bracelets (31) belonging to the smart chronic patient monitoring system (30) after use 35 There is a UV-C sterilization station (34) which enables this.

Claims

REQUESTS 1. The invention aims to reduce congestion in hospital emergency departments and to provide care for chronically ill patients at home. It is an ecosystem designed for remote monitoring (10), and its feature is; At least one infrared thermal camera sensor (21) that measures the patient's temperature remotely, acoustic measurement slot (22) where the finger is placed, generates barcode according to urgency 5 dynamic QR code output unit (26) and at least one control unit that processes data received from sensors and at least one unmanned triage kiosk unit (20) containing a signal processing unit (27) and The unmanned triage kiosk unit (20) mentioned works integrated with the patient and monitors at least a smart bracelet (31), at least one cloud server to which the data is transferred (32) and anomaly situations At least one smart chronic patient follow-up system containing at least one AI analysis module (33) that analyzes 10 the system (30) includes.

2. An ecosystem (10) that conforms to Claim 1, and its characteristic is that the mentioned acoustic measurement chamber (22), at least one servo motor that applies and releases micro-level pressure to the patient's finger control and signal by sensing the Korotkoff sounds generated by the mechanism (23) and blood flow. It must have at least one digital microphone (24) that transmits to the processing unit (27). 15 3. An ecosystem (10) that conforms to claim 2, and its feature is the aforementioned control and signal processing. The unit (27) processes acoustic data received from the digital microphone (24) to measure blood pressure, pulse, Signal processing (FFT and EDR) that calculates respiratory rate and blood oxygen level (SpO2) It has a hardware and software architecture.

4. An ecosystem (10) that conforms to Claim 1, and its characteristic is; acoustic measurement after the measurement process 20 integrated into the nest (22) which enables the inside of the nest (22) to be automatically disinfected. It contains ultraviolet UV-C LED lights (25).

5. An ecosystem (10) that complies with Claim 1, and its feature is that the mentioned cloud server (32) is artificial. Depending on the analysis results from the intelligence analysis module (33), the patient is in the emergency department Software that generates an emergency referral QR code that allows direct access to the treatment area. 25 It has the infrastructure.

6. It is an ecosystem (10) that complies with Claim 1, and its feature is that it belongs to the intelligent chronic patient follow-up system (30). Smart bracelets (31) must have at least one UV-C sensor to disinfect them after use. It includes a sterilization station (34).

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