CN105930668B - Remote assistance systems for medical equipment - Google Patents

Abstract

The invention discloses a remote auxiliary system for medical equipment, comprising: external monitoring equipment: receiving data information from medical equipment, analyzing and storing the acquired data, and issuing program control commands; remote equipment: the remote The terminal device and the in vitro monitoring device are connected through the network. When the remote device receives the request information from the in vitro monitoring device, it receives the displayed information from the in vitro monitoring device interface, and establishes a communication connection with the medical device terminal to transmit remote control instructions. . In the remote assistance system for medical equipment provided by the present invention, the remote technical support personnel can remotely view the interface of the external monitoring equipment through the remote equipment, and guide the follow-up staff to conduct follow-up operations through voice, so as to complete the remote assistance; or after obtaining the authorization of the follow-up staff When the control right is handed over to the remote technical support personnel, the technical support personnel can remotely operate the in vitro monitoring equipment to achieve the purpose of remote assistance.

Description

Remote assistance systems for medical equipment

technical field

The invention relates to a remote assistance system, in particular to a remote assistance system for medical equipment.

Background technique

At present, implantable electronic devices include insulin infusion pumps, brain pacemakers, cardiac pacemakers and other medical devices that are implanted into the human body. Here we take the IED (implantable cardiac electronic device) in cardiac pacemakers as an example; Implantable electronic devices (IEDs) are the main means of treating arrhythmia diseases. Implantable electronic devices (IEDs) need to be read and set through the associated programmer during implantation and during the follow-up process after implantation. The parameters of the implantable electronic device (IED) are used to understand the working condition of the implantable electronic device (IED) and the treatment of the patient. Therefore, the program controller is an important part of the implantable electronic device (IED) system.

Now in conjunction with Fig. 1, the usage method of the current implantable electronic device (IED) system is introduced as follows:

The implantable electronic device (IED) system is mainly divided into two parts, namely the implantable electronic device 11 and the supporting program controller 12 . The implantable electronic device 11 is implanted in the human body, and interacts with the matching program controller 12 through wireless communication. The program controller 12 receives and analyzes various data of the implantable electronic device (IED), analyzes and stores various parameters, etc., and issues program control commands. The medical staff analyzes the parameters of the implantable electronic device (IED) and observes the patient's treatment through the process controller.

After more than 50 years of development of implantable electronic devices (IEDs), the functions of implantable electronic devices (IEDs) are not only simple pacing and sensing, but also include various special functions, such as mode conversion during atrial fibrillation. , encourage self-sinus conduction, automatically test the pacing threshold function, etc. These functions will lead to some manifestations of ECG, especially the functions of ICD and CRT are more complicated. If you are not familiar with the operation of these functions, the normal device may operate It is judged to be abnormal, causing unnecessary patient panic, or the abnormal operation of the device is mistaken for the operation of these special functions, and the failure of the implantable electronic device (IED) cannot be dealt with in time, or the wrong programming is carried out with insufficient understanding of the function, May endanger the patient's life. However, the program controller is a stand-alone operation from the point of view of safety, and because the program control process of the implantable electronic device (IED) system is completely localized operation, during the program control process, the parameters uploaded by the implantable electronic device (IED) , the analysis of each parameter is only displayed on the local program control instrument, which results in that only the local doctor can participate in the program control process, and the remote consultation of the program control process cannot be carried out. The whole process of the program control is not recorded and cannot be reviewed. analyze.

In addition, the face-to-face follow-up in traditional clinics usually requires the presence of technicians from the manufacturer to cooperate with the follow-up staff to complete the follow-up of implantable electronic device (IED) patients, which requires the manufacturer to invest a lot of human resources. For hospitals in second- and third-tier cities, the technicians of the manufacturer do not live there, and it takes a day or a few days to complete the follow-up of several patients; in these centers, due to the small amount of implantation, the follow-up staff does not care about the implantation. The understanding of the function of the implantable electronic device (IED) is generally less, and a patient who encounters a faulty implanted electronic device (IED) either waits for the technician to come to the scene to deal with it, or calls the technician or is familiar with the implanted electronic device ( IED), the former usually delays the treatment of patients, while the latter does not have an intuitive programmer interface for technicians to browse, which can lead to problems that cannot be solved in time or communication barriers.

It can be seen from the above that in areas where cardiac pacing therapy is not developed, such as second- and third-tier cities or remote areas, doctors cannot grasp the functional mechanism of all brands of pacemakers. It is difficult, and there is no local technical support staff, and the doctor hopes to solve the problem in time. At this time, it is necessary to communicate with remote experts or factory personnel in real time according to the specific situation of the patient, and obtain operation suggestions to solve the problem. The applicant's previous application number is 201511032033.5, and the name of the invention is a remote assistance system for medical equipment, which uses a dedicated assistance device and server and cooperates with a program controller to complete the remote assistance; the implementation is relatively complicated.

SUMMARY OF THE INVENTION

The technical problem to be solved by the present invention is to provide a remote auxiliary system for medical equipment, which can increase the Internet function on the basis of traditional in vitro monitoring equipment, and provide cross-regional, Cross-time technical support is helpful for doctors to solve problems in the process of clinical program-controlled follow-up in a timely manner.

The technical solution adopted by the present invention to solve the above-mentioned technical problems is to provide a remote auxiliary system for medical equipment, including: in vitro monitoring equipment: receiving data information from the medical equipment, analyzing and storing the acquired data, and issuing Program control command; remote device: the remote device and the in vitro monitoring device are connected through the network, when the remote device receives the request information from the in vitro monitoring device, it receives the interface display information from the in vitro monitoring device, and communicates with the medical device. The device end establishes a communication connection and transmits a remote control instruction.

Further, after the remote device receives the authorization of the in vitro monitoring device, the remote device directly operates the interface content of the in vitro monitoring device to complete the remote setting of parameters.

Further, the remote device is a computer, PAD or mobile phone with a communication interface and interface browsing function, and the in vitro monitoring device has its own Internet access function and uses a virtual private network VPN to establish a network connection with the remote device.

Further, the external monitoring equipment is connected to the external remote auxiliary system terminal, the external remote auxiliary system terminal establishes network communication with the remote equipment, and the external remote auxiliary system terminal collects, processes, and uploads the external monitoring system. The device interface and the voice information of the medical device end, and return the control instructions from the remote device to the external monitoring device; when the remote device receives the authorization of the external monitoring device, the remote device passes the external monitoring device. The remote auxiliary system terminal directly operates the interface content of the external monitoring device to complete the remote setting of parameters.

Further, the in vitro monitoring device is provided with a USB interface, the USB interface is connected to an external remote auxiliary system terminal, and the external remote auxiliary system terminal is provided with a USB network port converter, and the in vitro monitoring device is provided with a USB interface. The device is connected to the public network through the USB network port converter of the external remote auxiliary system terminal.

Further, the external remote auxiliary system terminal includes: an information collection, conversion and transmission module: collects and captures the voice information of the external monitoring equipment interface and the medical equipment end, converts the collected information, and converts the encoded information. Perform network transmission; at the same time, receive the control instructions and guidance voice from the remote device, display the control instructions on the external monitoring equipment, decode and play the guidance voice, and guide the follow-up staff to operate; information relay and storage module: The signal stream formed by the interface of the external monitoring equipment and the voice information of the medical device is transmitted to the remote device, and the guidance plan and the signal stream formed by the voice from the remote device are transmitted to the follow-up staff to guide them to perform program-controlled operations; at the same time, the storage The entire program-controlled process information, including the interface of the external monitoring equipment, the voice information of the follow-up staff, the control instructions and guidance voices from the remote equipment, and related retrieval and query services are provided.

Further, the external remote assistance system terminal is connected to the cloud/network service platform, and the external remote assistance system terminal is connected to the cloud/network service platform, and the cloud/network service platform provides ID allocation for follow-up staff users. and login management to provide login management for technical support personnel of remote equipment; and generate help link information and send it to the remote equipment of technical support personnel after login. Further, the external remote auxiliary system terminal is connected to the cloud/network service platform through 3G/4G, Wifi or wired network port.

Further, the medical device is an implanted medical device, and the in vitro monitoring device is a program-controlled instrument/apparatus.

Further, the medical device is an implantable electronic device.

Compared with the prior art, the present invention has the following beneficial effects: the remote assistance system of the medical equipment provided by the present invention collects and captures information such as the interface of the external monitoring equipment and the voice of the follow-up staff, and after processing the information, a real-time network Sending, network storage, remote technical support personnel can remotely view the in vitro monitoring device interface through the remote device, and guide the follow-up staff to follow up operations through voice, so as to complete remote assistance.

With the authorization of the follow-up staff. The follow-up staff can also hand over the control of the in vitro monitoring equipment to the remote technical support personnel, and the personnel providing technical support can remotely operate the interface content of the in vitro monitoring equipment, complete the modification of remote parameters, and achieve the purpose of remote assistance. Through these two methods, the problems in the process of clinical program-controlled follow-up can be solved in time.

Description of drawings

1 is a schematic structural diagram of a program-controlled system of an existing implantable electronic device;

2 is a schematic diagram of a system architecture of an implantable electronic device with a remote assistance system according to the present invention;

FIG. 3 is a schematic diagram of a system architecture of an implantable electronic device based on a remote assistance system according to an embodiment of the present invention.

In the picture:

11 Implantable electronic device 12 Programmer 2 Remote assistance system

21 Information collection, conversion and transmission module 22 Information relay and storage module

31 Auxiliary system terminal equipment 32 Cloud/network service platform

33 Remote device

Detailed ways

The present invention will be further described below with reference to the accompanying drawings and embodiments.

The remote assistance system for medical equipment provided by the present invention can collect and capture information such as the interface of the external monitoring equipment and the voice of the follow-up staff, such as the voice information of the follow-up staff, and after the information is processed, real-time network transmission and network storage are performed. , the remote technical support personnel can remotely view the interface of the in vitro monitoring equipment through remote devices (such as mobile phones, PADs, computers, etc.), and can guide the staff to conduct follow-up operations through voice to complete remote assistance. In this embodiment, a cardiac implant device is used as an example, and the in vitro monitoring device corresponding to the cardiac implant device is the program controller 12 . The following embodiments all take the program controller 12 as an example.

If necessary, the seeker can also hand over the control of the program controller 12 to the remote technical support personnel, and the technical support personnel can remotely operate the interface content of the program controller 12 to complete the modification of remote parameters and achieve the purpose of remote assistance. After the follow-up is over, the follow-up staff and remote technical support personnel can connect to the remote assistance system at any time, and review and analyze the follow-up process through the cloud/network service platform 32 .

The remote auxiliary system for medical equipment provided by the present invention can realize the following functions:

1) The seeker can directly share the interface of the program controller to the remote technical supporter through the system, and the technical support can be directly browsed through the remote device (such as computer, PAD, mobile phone, etc.) Dialogue with the helper to help the helper solve the problem, and facilitate the remote multi-party consultation of the program-controlled process.

2) If necessary, the helper can also hand over the control of the program controller to the technical supporter, and the remote technical supporter can read the program control related information on the remote mobile device, such as interface information, parameter information, pacing information and other program control related information. Information, the personnel who provide technical support can directly operate the interface content of the program controller remotely, complete the modification of remote parameters, and achieve the purpose of remote assistance.

3) The entire program control process can be completely recorded and saved, which is convenient for reviewing and analyzing the program control process in the future.

4) This system enables follow-up doctors (namely those seeking help) to obtain technical support in a timely manner, ensuring that patients receive accurate and appropriate treatment, and at the same time saving the time and travel expenses of technical support personnel, which is a win-win method for users and manufacturers.

In order to realize the above functions and requirements, the remote auxiliary system for medical equipment provided by the present invention includes: a program controller: receiving data information from medical equipment, analyzing and storing the acquired data, and issuing program control commands; remote equipment : The remote device and the program controller are connected through the network. When the remote device receives the request information from the program controller, it receives the information displayed from the program controller interface, and establishes a communication connection with the medical device to transmit remote control. instruct.

Specifically, the remote assistance system 2 for medical equipment provided by the present invention can be implemented by the following two implementations:

Example 1

The remote assistance system for medical equipment provided in this embodiment is accomplished by installing a remote assistance program on the programmer 12 and a remote device (eg, computer, PAD, mobile phone, etc.). The program controller 12 needs to have a network port, wifi or 3G/4G, etc., has its own Internet access function, and can use a virtual private network VPN to establish a network connection with the remote device. When the staff encounters difficulties and needs to seek help during the follow-up of the implanted electronic device (IED), the seeker first asks the technical support provider for help by telephone or other means. In the case of WiFi or 3G/4G network, click the remote assistant program on the programmer, select or add the person to be called for help, and establish communication. The data obtained by the programmer 12 from the implanted electronic device (IED) 11 is transmitted through the server. On the remote device (such as computer, PAD, mobile phone, etc.) of the person who is being asked for help, both parties can browse the same program controller interface at the same time, and can conduct voice calls through the remote auxiliary program without other voice communication tools. If necessary, the helper can also hand over the control of the program controller to the technical supporter, who can remotely operate the program controller interface content, complete the modification of remote parameters, and achieve the purpose of remote assistance.

Example 2

The remote auxiliary system for medical equipment provided in this embodiment is realized by using an external remote auxiliary system terminal device to complete data collection, processing, and remote transmission. There is a USB interface, and the external remote auxiliary system terminal is connected to the USB interface, and the external remote auxiliary system terminal has a USB network port converter, so that the program controller 12 without network function can pass the USB network port of the external remote auxiliary system terminal. The converter is connected to the public network, see Figure 2 for the implementation. The remote auxiliary system 2 mainly includes three modules: an information collection, conversion and transmission module 21 , an information relay and storage module 22 and a cloud/network service platform 32 .

Information collection, conversion and transmission module 21: The main function of this part is to collect and capture information such as the interface of the program-controlled instrument and the voice of the follow-up staff, and perform necessary conversion of the information, such as encoding into standard video and voice streams, and then network transmission.

At the same time, this part decodes the program-controlled guidance information of the remote technical support personnel, displays the operation instructions on the interface of the in vitro monitoring equipment, decodes the voice signal and plays it, and guides the follow-up medical staff to operate according to the instructions.

Information relay and storage module 22: The main functions of this part are: 1), relaying the signal flow; 2), storing the program-controlled information.

In terms of signal flow relay, the signal flow formed by the interface of the program controller and the voice of the follow-up staff is transmitted to the remote equipment for analysis by the technicians. At the same time, the guidance plan of the remote technical support personnel and the signal flow formed by the voice are transmitted to the follow-up staff to guide them to perform program-controlled operations.

In terms of the storage of program-controlled information, the entire program-controlled process, including the interface of the program-controlled instrument, the voice information of the follow-up staff, and the guidance and voice of the remote technical support personnel will be stored. After the program control process is over, follow-up staff and remote technical support personnel can be connected to the remote assistance system to review and analyze the follow-up process.

Cloud/network service platform 32: The cloud/network service platform can identify user IDs of program-controlled staff who need help, provide ID allocation and login management of program-controlled staff users, and can assign helper technical support personnel to provide timely remote help, such as generating Help link information and send it to the remote device of the logged in technical support personnel; and forward and process the information exchange between the remote device and the program controller.

Please continue to refer to FIG. 3, the following is the preferred remote assistance system of this embodiment, including:

Auxiliary system terminal device 31: Considering the safety, none of the existing program controllers 12 can be connected to the network, and can only be operated by a single machine. If the existing program controller 12 encounters difficulties in operation, it can only be consulted by telephone. There is no intuitive interface in this way, making it difficult to guide efficiently. This problem can be well solved by using the terminal equipment of the remote assistance system with the implanted electronic device (IED).

The auxiliary system terminal device 31 fully considers the special usage scenarios, and has the network coverage capability of 3G/4G, Wifi, and wired network ports, which can meet the use of customers in any environment.

The auxiliary system terminal device 31 can collect and capture the display interface information of the program controller, and can also collect the voice information of the follow-up staff, and convert the information to form voice and video streams. The voice and video stream signals are transmitted to the remote device through the server for analysis by technical support personnel.

At the same time, the auxiliary system terminal device 31 can receive the instruction signal transmitted by the remote device 33 through the cloud/network service platform 32, decode the signal, display the operation instruction on the interface of the program controller 12, and play the voice information therein to guide the Follow up staff to follow instructions. Cloud/network service platform 32: On the one hand, the cloud/network service platform realizes the relay of information flow between the follow-up staff and the remote technical support staff, and on the other hand, it stores the information flow of both sides for later follow-up process. Review and review. The cloud/web service platform 32 can also generate help link information, which can be sent to the remote device 33 (technical support personnel).

Remote device 33: The remote device 33 (support staff) receives the request information that needs help, and the remote device (such as computer, PAD, mobile phone, etc.) can easily enter the help interface, and the display interface can be very clear according to the actual program controller. The follow-up staff at the end of the program controller is guided to complete the operation through voice and pictures.

The above embodiment introduces the composition of the remote assistance system, and briefly describes the basic working process of the implanted electronic device (IED) based on the system during implantation and follow-up. Through this system, the implantable electronic device (IED) can display the interface of the programmer to the remote device during implantation and follow-up for analysis by the remote doctors and technicians; if necessary, the helper can also The control right of the program controller is handed over to the technical supporter, and the personnel who provide technical support can remotely operate the interface content of the program controller, complete the modification of remote parameters, and effectively realize the remote consultation of implantable electronic device (IED) implantation and follow-up. Help the staff of the program controller to solve the problems encountered during the program-controlled follow-up process in a timely manner. At the same time, the program-controlled process can carry out complete data storage, which is convenient for future review and analysis of the program-controlled process.

Although the present invention has been disclosed above with preferred embodiments, it is not intended to limit the present invention. Any person skilled in the art can make some modifications and improvements without departing from the spirit and scope of the present invention. Therefore, the present invention The scope of protection shall be defined by the claims.

Claims (7)

1. a remote assistance system for medical equipment, the medical equipment is an implantable electronic device, characterized in that, comprising: In vitro monitoring equipment: receive data information from medical equipment, analyze and store the acquired data, and issue program control commands; Remote device: The remote device and the in vitro monitoring device are connected through the network. When the remote device receives the request information from the in vitro monitoring device, it receives the interface display information from the in vitro monitoring device, and establishes a connection with the medical device. Communication connection to transmit remote control instructions; External remote auxiliary system terminal: the external remote auxiliary system terminal is connected to the external monitoring device, the external remote auxiliary system terminal establishes network communication with the remote device, and the external remote auxiliary system terminal collects , process and upload the voice information of the in vitro monitoring device interface and the medical device end, and return the control instructions from the remote device to the in vitro monitoring device; Wherein, after the remote device receives the authorization of the in vitro monitoring device, the remote device directly operates the in vitro monitoring device through an external remote auxiliary system terminal to complete the remote setting of parameters. 2. The remote assistance system of medical equipment as claimed in claim 1, wherein the remote equipment is a computer, a PAD or a mobile phone with a communication interface and an interface browsing function, and the in vitro monitoring equipment has its own Internet access function and A virtual private network VPN is used to establish a network connection with the remote device. 3. The remote assistance system for medical equipment according to claim 1, wherein the external monitoring device is provided with a USB interface, and an external remote assistance system terminal is connected to the USB interface, and the external remote assistance system is connected to the USB interface. The system terminal is provided with a USB network port converter, and the external monitoring device is connected to the public network through the USB network port converter of the external remote auxiliary system terminal. 4. The remote assistance system for medical equipment according to claim 1 or 3, wherein the external remote assistance system terminal comprises: Information collection, conversion and transmission module: collects and captures voice information on the interface of external monitoring equipment and medical equipment, converts and encodes the collected information, and performs network transmission on the converted and encoded information; at the same time, receives control from remote equipment. Instructions and guidance voices, display the control instructions on the in vitro monitoring equipment, decode and play the guidance voices, and guide the follow-up staff to operate according to the instructions; Information relay and storage module: transmits the signal stream formed by the interface of the external monitoring equipment and the voice information of the medical device to the remote device, and transmits the guidance scheme and the signal stream formed by the voice from the remote device to the follow-up staff to guide them. Perform program-controlled operations; at the same time, store the entire program-controlled process information, including the interface of the external monitoring equipment, the voice information of the follow-up staff, the control instructions and guidance voices from the remote equipment, and provide relevant retrieval and query services. 5. The remote assistance system of medical equipment as claimed in claim 3, wherein the external remote assistance system terminal is connected to a cloud/network service platform, and the cloud/network service platform provides the ID of the follow-up staff user Assignment and login management, provide login management for remote equipment staff; and generate help link information and send it to the remote equipment of the technical support staff after login. 6 . The remote assistance system for medical equipment according to claim 3 , wherein the external remote assistance system terminal is connected to the cloud/network service platform through 3G/4G, Wifi or wired network port. 7 . 7 . The remote assistance system for medical equipment according to claim 1 , wherein the in vitro monitoring equipment is a program-controlled instrument/apparatus. 8 .