CN102354186A - Medical intelligent comprehensive control system of patient bedside information - Google Patents
Medical intelligent comprehensive control system of patient bedside information Download PDFInfo
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- CN102354186A CN102354186A CN2011102472094A CN201110247209A CN102354186A CN 102354186 A CN102354186 A CN 102354186A CN 2011102472094 A CN2011102472094 A CN 2011102472094A CN 201110247209 A CN201110247209 A CN 201110247209A CN 102354186 A CN102354186 A CN 102354186A
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Abstract
The invention relates to a medical intelligent comprehensive control system of patient bedside information, which comprises a center control unit, a concentrator, a bedside multifunctional controller, a bedside peripheral device and a medical care personal wired/wireless reminding alarm unit, wherein the bedside multifunctional controller is connected with the bedside peripheral device through a network interface or RS232 interface for carrying out information acquisition and control on the bedside peripheral device, the bedside multifunctional controller is also connected with the center control unit through the concentrator for carrying out information transmission, the center control unit is also connected with the medical care personal wired/wireless reminding alarm unit through the network interface, and the medical care personal wired/wireless reminding alarm unit is also connected with an electronic display screen and a medical care personal handheld warless reminding terminal. The medical intelligent comprehensive control system has the advantages of being reasonable in design, furthest improving the accuracy and the timeliness of medical works, furthest assisting the medical care personal to work, increasing the working efficiency, lightening the workload of the medical care personal, increasing the usability of the system and reducing maintenance cost.
Description
Technical field
The invention belongs to automation control area, the other information intelligent complex control system of especially a kind of medical patient's bed.
Background technology
The other information spinner of hospital clinical patient bed will comprise just essential information such as situation of patient vital signs, transfusion situation, the situation of taking medicine, bed situation, two; Above-mentioned information is gathered through the periodical inspection sick bed and through the mode of craft by medical personnel usually, and the information that is collected is used to judge patient's change of illness state and for the further diagnosis and treatment of patient reference frame is provided.At present, most of hospital patient and nurse's ratio can not reach 2: 1, even if might also be that a nurse is responsible for looking after a plurality of patients simultaneously in the intensive care unit.For guaranteeing to grasp at any time patient's other information change of bed and change of illness state, just need medical personnel constantly to make an inspection tour sick bed, understand patient, nonetheless, the other information of the patient's bed that is collected also is discontinuous.And patient seek medical personnel can be through oral or through the other pager notification nursing of a bed station office nurse; Office nurse in nursing station notifies person in charge nurse and the doctor who is responsible for this patient through the mode of oral or phone again, so just can not guarantee that patient finds the medical personnel that are responsible for oneself in the very first time.For guaranteeing can be by the oral drugs of correct time, kind and dose doctor's advice regulation the patient of institute; The nurse can only send out medicine and continuous tour and remind the patient in time to take medicine by single; This has not only increased nursing work load, has lowered the work efficiency of nursery work, nor can guarantee fully that patient took medicine according to doctor's advice in the correct time.
Summary of the invention
The objective of the invention is to overcome the deficiency of prior art, provide a kind of reasonable in design, can keep watch on patient automatically, reduce nursing work load, improve nursing efficiency and the high other information intelligent complex control system of medical patient's bed of automaticity.
The present invention solves its technical matters and takes following technical scheme to realize:
The other information intelligent complex control system of a kind of medical patient's bed; Comprise centralized control unit, hub, head of a bed multifunctional controller, the other peripheral device of bed and medical personnel's wire/wireless prompting alarm unit; Head of a bed multifunctional controller is connected through network interface or RS232 interface with the other peripheral device of bed and is used for information acquisition and the control to the other peripheral device of bed; Head of a bed multifunctional controller also is connected with centralized control unit through hub and is used for the information transmission; Centralized control unit also is connected through network interface and medical personnel's wire/wireless prompting alarm unit, and medical personnel's wire/wireless prompting alarm unit information of carrying out that also is connected with electronic display, medical personnel's hand-hold wireless prompt terminal shows or voice call function.
The other peripheral device of described bed comprises that time control unlatching medicine box, transfusion monitoring the process device, patient are at the other medical custodial care facility of bed condition monitoring device, patient's voice call answer device and bed.
Described centralized control unit is connected and composed through LAN by centralized control unit server, nurse station computer client, the doctor computer client of standing.
Described head of a bed multifunctional controller comprises information interaction subelement, information processing subelement, information transmission subelement and power management subelement; The information processing subelement is connected with the information transmission subelement with the information interaction subelement respectively; The information interaction subelement is connected with the other peripheral device of bed; The information transmission subelement is connected with hub, and the power management subelement is connected with each unit and peripheral device provides the low-voltage safety reference power supply for it.
Described information processing subelement is become to be used for to send to the information transmission subelement after all information and the conversion processing of the mutual subelement input of acquisition of information by single-chip microcomputer or ARM mechanism or the order of receiving center control module is controlled the other peripheral device of bed; Described information interaction subelement is connected and composed at the other medical custodial care facility control module of bed condition monitoring control module, patient's voice call answer device control module and bed by central processing unit, medicine box control module, transfusion monitoring the process device control module, patient; Central processing unit, medicine box control module, transfusion monitoring the process device control module, patient all adopt independently single-chip microcomputer at bed condition monitoring control module, patient's voice call answer device control module; The information transmission subelement is configured for the information processing subelement by single-chip microcomputer and centralized control unit carries out exchanges data, and this information transmission subelement has unique hardware address coding in network.
Described time control is opened medicine box and is comprised main ingredient box, Cang Gai, LCDs and the control circuit thereof with independent medicine storehouse; This circuit control section is connected to form by medicine box master controller, each medicine storehouse controller and LCDs; The medicine box master controller is formed by single-chip microcomputer with each medicine storehouse controller; Medicine box master controller and each medicine storehouse controller adopt the communication of inner full duplex serial mode, and each medicine storehouse controller also is connected with time showing module, storehouse cover sensor and storehouse lid drive unit and is used for time showing, Cang Gai opens and judges and Cang Gai unlatching driving.
Described time control is opened medicine box and is comprised that also a hand-held drug putting is provided with device; Should control circuit that hand handle and inside thereof comprising of device be set hand-held drug putting; This control circuit circuit is connected and composed by central processing unit and RS232 interface, keyboard, storer and display screen, and hand-held drug putting is provided with device and through RS232 interface and hand-held drug putting device is set and carries out Communication Control.
Described transfusion monitoring the process device is by dripping number infrared sensor, aneroid infrared sensor, ambient brightness photoelectric sensors, keyboard being set and auxiliary circuit connects and composes.
Described patient is made up of at bed and bed condition monitoring software humidity sensor, pressure transducer, the patient that is installed in nurse station computer client at bed condition monitoring device; Humidity sensor is installed on one's sick bed, and pressure transducer is installed in sick bed bottom forced section.
Described medical personnel's wire/wireless prompting alarm unit is by audio-frequency generator, note amplifier, audio amplifier, video card and display screen and be installed in the wired and wireless alerts alarm software of its inner medical personnel and form; This alarm unit is connected with wireless launcher and realizes the communication function with medical personnel's hand-hold wireless prompt terminal, and this alarm unit and electronic cue shield to be connected and be used to point out and the demonstration of warning message.
Advantage of the present invention and good effect are:
1, the present invention combines centralized control unit server, hub, head of a bed multifunctional controller, time control unlatching medicine box, transfusion monitoring the process device, patient effectively at the other medical custodial care facility of bed condition monitoring device, patient's voice call answer device and bed; Making medical personnel understand patient vital signs immediately changes; Patient infusion process situation, patient is in bed situation and patient's berth comfort level situation.The data that each unit is collected through centralized control unit handle and analyze the back to abnormal information produce caution and can through wired and (or) wireless system notifies that corresponding medical personnel in time handle in the lesion.Native system can improve accuracy, the promptness of curative activity to greatest extent, and assist personnel work to greatest extent, increases work efficiency, alleviates medical personnel's workload.The function that in the past needed a plurality of systems to accomplish that native system is integrated avoids repeating wiring and duplicate construction, and it adopts the digitizing pattern, through the mode of software system is upgraded, and has increased the availability of system and has reduced maintenance cost.
Description of drawings
Fig. 1 is that system of the present invention connects block diagram;
Fig. 2 is the installation site synoptic diagram of native system;
Fig. 3 is the structural representation of CPU total management system software;
Fig. 4 is the circuit block diagram of the multi-functional processing terminal of the head of a bed;
Fig. 5 is the structural representation that medicine box is opened in time control;
Fig. 6 is the circuit block diagram that medicine box is opened in time control;
Fig. 7 is used for opening time control to open the circuit block diagram that the drug putting of medicine box is provided with device;
Fig. 8 is the circuit block diagram of transfusion monitoring the process device;
Fig. 9 is the circuit block diagram of patient at bed condition monitoring device;
Figure 10 is that patient's voice call answer device connects synoptic diagram;
Figure 11 is the circuit block diagram of medical personnel's wire/wireless prompting alarm unit.
Embodiment
Below in conjunction with accompanying drawing the embodiment of the invention is done further detailed description:
The other information intelligent complex control system of a kind of medical patient's bed; Like Fig. 1 and shown in Figure 2; Comprise centralized control unit, hub, head of a bed multifunctional controller, the other peripheral device of bed and medical personnel's wire/wireless prompting alarm unit; Wherein, the other peripheral device of bed comprises that time control unlatching medicine box, transfusion monitoring the process device, patient are at the other medical custodial care facility of bed condition monitoring device, patient's voice call answer device and bed.Centralized control unit is installed in the nursing station; Hub can be installed in the ward outside corridor; Head of a bed multifunctional controller is installed in the ward and is one of each sick bed configuration; On the one hand; Head of a bed multifunctional controller, time control unlatching medicine box, transfusion monitoring the process device, patient are connected through network interface or serial communication interface at the other medical custodial care facility of bed condition monitoring device, patient's voice call answer device and bed and are used for information acquisition and control; On the other hand; Head of a bed multifunctional controller sends to centralized control unit through the information that hub is connected with centralized control unit its collection, and the order of can also the receiving center control module sending is opened medicine box to time control and controlled with patient's voice call answer device, and centralized control unit points out alarm unit to be connected through Ethernet with medical personnel's wire/wireless and medical personnel carry out information interchange.Describe respectively in the face of the each several part in the system down:
1, centralized control unit is connected and composed through LAN by centralized control unit server, nurse station computer client, the doctor computer client of standing; The information of each other peripheral device output is carried out exchanges data through the network path and the centralized control unit of head of a bed multifunctional controller-hub-centralized control unit server; Related data is stored in the centralized control unit server, and the control module total management system software in the centralized control unit server is classified immediately, analyzes, handles, shown data automatically.The information from other unit is collected, writes down and integrated to this centralized control unit through network; And through the variation of screen display patient vital signs, patient infusion process situation, patient in bed situation and patient's berth comfort level situation and the patient information such as situation of taking medicine; Information to exceeding preset range is sent caution, and can through wired with (or) wireless mode notifies the lesion relevant medical personnel.Wherein, the centralized control unit server is used to collect the data that the other Medical Devices of each sick bed bed are uploaded through network, and data are classified and are stored in associated databases, immediately the data of taxonomic revision is sent to nurse station and the doctor computer client of standing; Receive nurse station and doctor the stand data and the instruction of sending and be sent to the other Medical Devices of corresponding bed; Carry out data sharing and exchanges data through interface routine and hospital information management system (HIS); Transfer, storage and handle communicating by letter between medical care computer client and the medical personnel's hand-hold wireless prompt terminal.Nurse station computer client is used for receiving center control module server data; Through relative program data are put in order and to be incorporated in the variation of screen display patient vital signs, patient infusion process situation, patient in bed situation and patient's berth comfort level situation, the patient information such as situation of taking medicine; Information to exceeding normal range and preset range is sent caution; Through internal processes the other equipment of far-end associated bed is provided with or transmission information; A certain patient or part patient are carried out audio call or reply a certain medical personnel's in the lesion hand-hold wireless prompt terminal transmission information and prompting, or the screen of the electronic cue in lesion transmission information.Doctor's computer client of standing is used for receiving center control module server data, shows medical equipment informations such as patient's bedside monitor, lung ventilator in real time through the other Medical Devices client software of bed.
The inner installation and control unit comprehensive of centralized control unit server management system software is managed its subordinate's subsystem, storage administration is carried out in subordinate's plurality of data storehouse, the data of synthesis display subordinate's subsystem.As shown in Figure 3, control module total management system software is made up of at bed and bed condition monitoring subsystem, the other medical custodial care facility client-end subsystem of bed, patient's voice call answer subsystem, medical personnel's wire/wireless prompting warning subsystem, hospital information management system (HIS) interface routine subsystem and corresponding database medication managing subsystem, transfusion monitoring the process and ADMINISTRATION SUBSYSTEM, patient.Wherein:
The medication managing subsystem comprises: prompting medicine box opening time setting program is opened in (1) time control: the nurse is provided with each sick bed patient time and control the opening time of opening prompting each medicine storehouse of medicine box and expanding the medicine storehouse in that nurse station computer client is long-range.As inserted hospital information management system (HIS); This program can be provided with the opening time that prompting each medicine storehouse of medicine box and expansion medicine storehouse are opened in time control automatically according to the oral drugs doctor's advice, and can the taking drug information time that transfer to be controlled and open prompting medicine box main ingredient box master electronic display screen displays; (2) take medicine status monitoring and alert program: show the instant situation of taking medicine of each patient of ward in nurse station computer client,, will send caution and remind corresponding nurse to help the patient to take medicine if the patient surpasses and subscribes that the period of taking medicine takes medicine not yet; (3) medicine box medicine storehouse lid remote opening program: in some cases, the unlatching of a certain medicine Cang Yaocang lid of remote controlled certain patient's of nurse medicine box also can be provided with the unlatching that certain medicine Cang Yaocang lid is set through the mode of countdown; (4) meal time logging program and survey blood sugar reminder: taking of some drugs is relevant with meal time; This program can also write down patient's meal time; And can be set in the automatic speech prompting program transmission request of fixed time to patient's voice call answer subsystem; This program calculates automatically that according to patient's meal time of meal time logging program record the patient need survey the time of blood sugar; When arrive surveying blood sugar during the time, through medical personnel wired and wireless alerts, the warning subsystem sends prompting to the nurse, is patient's measuring blood on time.
Transfusion monitoring the process and ADMINISTRATION SUBSYSTEM comprise: (1) transfusion monitoring the process and alert program: show the transfusion state that the patient is current in real time; Drip number like speed; Current residual liquid quantity of infusing is about to be totally lost when number of infusion drops surpasses normal speed or reservation speed, current liquid, infuses and send caution to relevant nurse when abending.(2) transfusion statistical analysis program: the current transfusion fluid of each patient total amount is calculated, transfusion speed is analyzed.
Patient comprises at bed and bed condition monitoring subsystem: (1) patient is in bed and bed condition monitoring and alert program: show patient in real time in the bed situation, send caution prompting nurse to relevant nurse after berth surpasses certain hour not return berth yet and check patient when patient that the doctor's advice regulation need be liied in bed leaves; When part large and small just can not from reason patient's sick bed degree of comfort decreased the time send caution to relevant nurse, in time help the patient to change bed clothes.(2) patient body weight scan statistics program: subscribe period all patient's berth weight of scanning night every day and calculate weight in patients according to empty bed weight; Statistics patient body weight every day (berth general assembly (TW) when sickbed patients body weight=patient lies in bed-sky bed weight) is sent caution when weight in patients generation significant change in many days.
The other medical custodial care facility client-end subsystem of bed comprises: the other medical custodial care facility database interface of (1) bed: between all other medical custodial care facilities of standard industry Ethernet interface bed that can insert native system and the centralized control unit database interface is provided, thus the realization data storage.(2) the other medical custodial care facility client of bed shows and the analysis interface program: between the medical custodial care facility client demonstration that provides for the other medical custodial care facility of bed manufacturer and routine analyzer and the centralized control unit database interface is provided.
Patient's voice call answer subsystem comprises: (1) patient's voice call answer program: the nurse of nurse station answers patient's voice call; Understand patients ' demand; Individual calling or group busy the lesion patient, with the mode of voice simultaneously and one or more patients conversation or broadcast.(2) the automatic call forwarding program of no response: when nobody replys above certain hour when patient's nurse call station, this Automatic Program will be called out by the reservation order or transfer other simultaneously to and subscribed the place, like therapeutic room, liquor room, nurse rest room etc., up to there being the people to reply; This program also can be set to convert call request into online medical personnel's hand-hold wireless prompt terminal that the code that comprises patient's bed label is sent to appointment, and medical personnel can answer patient's calling or directly arrive patient's sick bed understanding patients ' demand through nearest conversation point like this.(3) reply the situation analysis program: but record patient and medical personnel's voice call content, and the analysis medical personnel answer the speed and the unresponsive situation of replying, and promote medical personnel to improve constantly and are patient's service awareness and quality.Statistics patient's the number of calls, medical personnel find the deficiency that possibly exist in the curative activity through analyzing to the more patient of the number of calls, thereby more thorough service are provided for the patient.(4) patient's automatic speech prompting program: this program is accepted the request of other subsystem program, sends the voice suggestion of prerecording from the trend patient.
Wired and the wireless alerts warning subsystem of medical personnel comprises: (1) prompting, warning message electronic cue screen display routine: the information warning that this Automatic Program produces each unit or preset unit according to successively and urgency level queuing back be sent to respective regions electronic cue screen with the mode of literal; Change information such as liquid prompting, the prompting of patient infusion velocity sag, patient's urgent call like patient; Point out relevant nurse to be correlated with and make an inspection tour and handle, after the task of information is finished dealing with, can stop relevant information and show through nurse station computer client mark completion to the ward.(2) prompting warning message medical personnel hand-hold wireless prompt terminal router: the mode with literal this Automatic Program is lined up the information warning of each unit or the generation of preset unit according to priority and urgency level after is sent to medical personnel's hand-hold wireless prompt terminal.
Hospital information management system (HIS) interface routine subsystem: carry out data sharing and exchanges data through interface routine and hospital information management system (HIS).
2, head of a bed multifunctional controller; As shown in Figure 4; Be made up of information interaction subelement, information processing subelement, information transmission subelement and power management subelement, each head of a bed multifunctional controller has unique hardware address coding to distinguish different bed labels in network.Head of a bed multifunctional controller can support plurality of devices numeral and speech ciphering equipment to insert, and with carrying out information interaction with numeral side between access device and the centralized control unit.Wherein: the information processing subelement is become by single-chip microcomputer or ARM mechanism; All information of the mutual subelement input of this subelement acquisition of information; And analog signal conversion that will be wherein is digital signal, and all information are carried out sending to the information transmission subelement behind classification processing and the coding; The information processing subelement can be decoded the instruction, the information that are sent to the information transmission subelement by centralized control unit and is transferred to the peripheral device on the corresponding port of information interaction subelement after the classification, and the DAB of transmission is carried out transferring to patient's voice call answer device after the digital-to-analogue conversion.The information interaction subelement is as the communication interface of head of a bed multifunctional controller and external unit; Mainly connect and compose at the other medical custodial care facility control module of bed condition monitoring control module, patient's voice call answer device control module and bed by central processing unit, medicine box control module, transfusion monitoring the process device control module, patient; Central processing unit, medicine box control module, transfusion monitoring the process device control module, patient all adopt independently single-chip microcomputer at bed condition monitoring control module, patient's voice call answer device control module; Central processing unit is connected with information process unit; Other control modules are connected with separately communication interface (Ethernet interface or RS232 serial communication interface) provides access interface for the other peripheral device of bed; Collect from time control open prompting medicine box, transfusion monitoring the process device, patient is at the bed monitoring device and have the data message that the other medical custodial care facility of standard industry Ethernet interface bed is uploaded; While can also be inserted the call information of patient's voice call answer device, and transforms and digital reduction audio-frequency function and the two-way high-quality conversation of nursing station nurse's client realization digital transmission through audio frequency-numeral of information processing subelement.In addition, the peripheral device that the information interaction subelement also can pass to some two-way communications with the information and the instruction of centralized control unit transmission is opened equipment such as prompting medicine box like time control.The information transmission subelement is made up of single-chip microcomputer; Main responsible information processing subelement and centralized control unit carry out exchanges data; Itself and external communication are to adopt Ethernet interface; Inner through single-chip microcomputer completion internal communication control function, the information transmission subelement has unique hardware address coding to distinguish different bed labels in network.The power management subelement realizes that as a kind of power supply change-over device mains supply transfers low-voltage dc power supply to; Can be head of a bed multifunctional controller self circuit supply; And can be related access equipment the low-voltage safety reference power supply is provided, open medicine box, transfusion monitoring the process device, patient's voice call answer device etc. like time control.
3, time control unlatching medicine box is under the control of centralized control unit medication managing subsystem, to carry out work; It opens prompting medicine box opening time setting program through time control; The nurse is long-range to be provided with each sick bed patient time and to control the opening time of opening prompting each medicine storehouse of medicine box and expansion medicine storehouse; Through status monitoring and the alert program of taking medicine, nurse station computer client can show the situation of taking medicine that each patient of ward is instant, and the patient is late for taking medicine sends caution to the nurse.The structure of medicine box is opened in time control, and as shown in Figure 5, in the drawings, (1) comprises four independently medicine storehouses for the main ingredient box; (2) be medicine cup: adopt medicine cup at present commonly used; (3) point out electrical screen medicine time for subscribing; (4) be the medicine storehouse; (5) be the medicine glass groove, in the medicine cup detector is arranged, whether detectable medicine cup is put into the medicine glass groove or is not removed; (6) transparent medicine Cang Gai is opened in time control automatically; (7) be main ingredient box master electronic display; Can show patient's bed label, name, medicine time information; When medicine box networking work, can show information such as the nomenclature of drug of taking, dosage, medicine introduction; Can also receive the warm tip of nursing station transmission etc., this display screen can be pressed longitudinal axis rotation, is convenient to the patient watch; (8) for duty display lamp and enforced opening button when this medicine Cang Gai not to the opening time, when medicine Cang Gai does not open, be shown as amber light; After medicine Cang Gai opened by the fixed time, after patient took this medicine storehouse medicine glass for oral administration at the appointed time away, display lamp became green; When patient did not take out the for oral administration medicine glass in this medicine storehouse yet after medicine Cang Gai opens above certain hour, display lamp transferred red light to and sounds prompting; When medicine storehouse lid can not be opened on time automatically, but press this button enforced opening medicine Cang Gai; (9) expansion medicine box (storehouse lid opening): this medicine box can be incorporated the main ingredient box into through the mode of pegging graft; (10) cover coupling shaft for medicine storehouse and storehouse: in spring is arranged, medicine Cang Gai upsprings under spring action automatically when medicine storehouse Electromagnetic bolt is opened; (11) expansion medicine box spliced eye: comprise PORT COM in the spliced eye.This time control is opened medicine box and is comprised four independent medicine storehouses and be reserved with expansion slot, and the medicine storehouse can be expanded through the mode of pegging graft; Each medicine storehouse is equipped with the electromagnetic lock of time control; Each medicine storehouse can be opened electromagnetic lock automatically according to the preset time and opened medicine Cang Gai and remind patient to take medicine on time through modes such as acousto-optics; Patient can't open the medicine storehouse at the fixed time in addition, and during special circumstances, the nurse can pass through key operated medicine storehouse.When the nurse sends out medicine, can patient's required oral medicine in a day be put into different medicine cups respectively by medicine time, and put into time control and open the corresponding medicine of prompting medicine box storehouse, and set each medicine storehouse opening time.When prompting medicine box access network is opened in time control; The opening time in each medicine storehouse can be by carrying out long-range setting through centralized control unit medication managing subsystem; When no network; This medicine box can work independently, and can device be set through hand-held drug putting and time control is set opens the prompting medicine box medicine storehouse opening time.After drug putting finishes, can the prompting medicine box be opened in the time control that set and delivered to by patient's bed.Take medicine control and Tip element of patient can work independently, and time control is opened the prompting medicine box and is reserved with data transmission port, can link to each other the situation thereby monitor patients is taken medicine with centralized control unit through cable network.Time control is opened the power supply of prompting medicine box and is provided by head of a bed multifunctional controller, also can be by independent power transformer power supply, and the inner built-in rechargeable battery of main ingredient box still can be kept one period normal working hours after losing external power source.The circuit control section that medicine box is opened in this time control is mainly connected to form by medicine box master controller, each medicine storehouse controller and LCDs; As shown in Figure 6; The medicine box master controller is formed by single-chip microcomputer with each medicine storehouse controller; Medicine box master controller and each medicine storehouse controller adopt the communication of inner full duplex serial mode, and each medicine storehouse controller also is connected with time showing module, storehouse cover sensor and storehouse lid drive unit and is used for time showing, Cang Gai opens and judges and Cang Gai unlatching driving.Medicine storehouse quantity can increase and decrease arbitrarily; All there are an input and an output interface in each medicine storehouse; Only need the serial communication interface in medicine storehouse be inserted the output interface in a last medicine storehouse during increase and just can accomplish new drug storehouse of increase; Its principle of work is: the medicine box master controller arrives corresponding medicine storehouse controller according to command word with task assignment after the order that receives centralized control unit, and information is presented on the main display, and corresponding medicine storehouse controller pins Cang Gai according to order; Start regularly, and on display screen, show the countdown time; After timing finishes, open Cang Gai, send prompt tone.The storehouse cover sensor can be opened situation and whether the patient gets it filled information uploadings such as situation to the medicine box master controller with Cang Gai.
The work of both can having networked of prompting medicine box is opened in time control, also can work independently.When working alone, need to use drug putting that device is set and be set the opening time for it.The circuit structure that this hand-held drug putting is provided with device is connected and composed by central processing unit and RS232 interface, keyboard, storer and display screen; As shown in Figure 7; The staff is transferred to hand-held drug putting with the respective patient information of taking medicine through the RS232 interface through centralized control unit (nursing station) software device is set; Perhaps directly through keyboard with take medicine information input of patient, and be stored in hand-held drug putting and be provided with in the storer of device.The nurse opens the prompting medicine box to the control of time of corresponding patient's head of a bed again and will hand drug putting and device is set through the RS232 interface information of taking medicine is input in the medicine box master controller, and opens the control of medicine box time.This equipment can and be stored in this equipment by manual typing one day medicine time of each patient of doctor's advice; When prompting medicine box special use receiving port is opened in this equipment output end mouth insertion time control; This equipment will be discerned the bed label of each medicine box automatically, and be directed into this medicine box medicine time that will be corresponding with this bed label automatically.
4, transfusion monitoring the process device; As shown in Figure 8; By dripping number infrared sensor, aneroid infrared sensor, ambient brightness photoelectric sensors, keyboard being set and auxiliary circuit connects and composes, wherein, infrared sensor is made up of infrared transmitting tube and the photoelectrical coupler corresponding with it.Transfusion monitoring the process device can be placed on the Infusion support; Go up fluted; Can the infusion segment pipe of Murphy type burette and connection Murphy type burette upper end and lower end be pressed into wherein; In groove, reach the sensors that the photoelectrical coupler corresponding with it formed by infrared transmitting tube by many groups; Sensor is surveyed the liquid in the woven hose that in its tank circuit, snaps in transparent Murphy type burette and Murphy type burette upper end; When liquid being arranged in the woven hose and do not have liquid, photoelectrical coupler has different refraction coefficients and produces varying level the infrared ray of its input end infrared transmitting tube emission, and auxiliary circuit can be judged the liquid level that drips remaining liq in number and the infusion bottle of the Murphy type burette drop of flowing through according to the level signal that different sensors is returned; And corresponding abnormal signal produced sound and light alarm, as dripping a fast abnormal alarm, transfusion abend warnings, aneroid warning.This equipment has the upstream data port, and the information that can sensor be collected through this port and various warning message are sent to head of a bed multifunctional controller and transfer to the centralized control unit server then.This equipment can be supplied power by internal battery, also can be by head of a bed multifunctional controller feeder ear confession.
Transfusion monitoring the process and alert program, transfusion statistical analysis program are installed in nurse station computer client; Can show the transfusion state that the patient is current in real time from far-end; Drip number like speed, current residual liquid quantity of infusing is about to be totally lost when number of infusion drops surpasses normal speed or reservation speed, current liquid, infuses and send caution to relevant nurse when abending; The current transfusion fluid of each patient total amount is calculated, transfusion speed is analyzed.
5, patient is at bed condition monitoring device, and is as shown in Figure 9, is made up of in bed and bed condition monitoring and alert program, patient body weight scan statistics program humidity sensor, pressure transducer, the patient that is installed in nurse station computer client.Humidity sensor, pressure transducer are connected through head of a bed multifunctional controller.Part patient's state of an illness is inappropriate for ground activity down too early; Ground is movable down but some patient possibly allow voluntarily without the doctor; This device can be surveyed the variation of sick bed weight through being placed in pressure transducer under patient's sick bed head of a bed side cabinet base, sends corresponding caution at bed and bed condition monitoring and alert program software analysis patient in the bed situation and to the nurse through the far-end patient; Part patient is large and small just can not to take care of oneself, and this device is laid humidity sensor under patient's sheet, and real-time detection patient sick bed comfort level is once when finding that large and small fecal incontinence appears in patient, it is that the patient changes bed clothes that system will notify the paramedic in the very first time.Patient body weight scan statistics program will be subscribed period all patient's berth weight of scanning and calculate weight in patients according to empty bed weight at night every day, and statistics patient body weight every day is sent caution when weight in patients generation significant change in many days.
6, patient's voice call answer device is shown in figure 10, is made up of patient's bed side audio call intercom that inserts head of a bed multifunctional controller and the patient's voice call answer subsystem program that is installed in the nurse station computer client.This audio call intercom is provided with calling/cancellation call button, flash appeal button, microphone and loudspeaker.The patient's voice call answer subsystem program that is installed in the nurse station computer client comprises: (1) patient's voice call answer program: the nurse of nurse station answers patient's voice call; Understand patients ' demand; Individual calling or group busy the lesion patient, with the mode of voice simultaneously and one or more patients conversation or broadcast.(2) the automatic call forwarding program of no response: centralized control unit server internal modem (modem); The hospital internal telephone line inserts the RJ11 interface of the built-in modulator-demodular unit (modem) of centralized control unit server through the RJ11 joint; When nobody replys above certain hour when patient's nurse call station; This Automatic Program is through the built-in outwards dialing of modulator-demodular unit (modem) of centralized control unit server; To call out by the reservation order or transfer other simultaneously to and subscribe the place, like therapeutic room, liquor room, nurse rest room etc., up to there being the people to reply; This program also can be set to convert call request into online medical personnel's hand-hold wireless prompt terminal that the code that comprises patient's bed label is sent to appointment, and medical personnel can answer patient's calling or directly arrive patient's sick bed understanding patients ' demand through nearest conversation point like this.(3) reply the situation analysis program: but record patient and medical personnel's voice call content, and the analysis medical personnel answer the speed and the unresponsive situation of replying, and promote medical personnel to improve constantly and are patient's service awareness and quality.Statistics patient's the number of calls, medical personnel find the deficiency that possibly exist in the curative activity through analyzing to the more patient of the number of calls, thereby more thorough service are provided for the patient.(4) patient's automatic speech prompting program: this program is accepted the request of other subsystem program, sends the voice suggestion of prerecording from the trend patient.Its course of work is: when patient need seek medical personnel; Can send call signal through the other calling set of bed; Call signal is transmitted through the network to centralized control unit, and the office nurse can exchange with patient through the mode of voice and understand patients ' demand and notify the associated care personnel.Centralized control unit can be set to automatic switching, through wired with (or) wireless mode notice lesion medical personnel, medical personnel can reach up to patient's bed is other and understand patients ' demand.
7, medical personnel's wire/wireless prompting alarm unit; Shown in figure 11; Mainly by audio-frequency generator, note amplifier, audio amplifier, video card and display screen and be installed in the wired and wireless alerts warning subsystem program of its inner medical personnel and connect and compose; This alarm unit is connected with wireless launcher and realizes the communication function with medical personnel's hand-hold wireless prompt terminal, and this alarm unit and electronic cue shield to be connected and be used to point out and the demonstration of warning message.Wherein, wireless launcher is used for the customizing messages that centralized control unit sends is sent to medical personnel's hand-hold wireless prompt terminal with wireless mode.Medical personnel's hand-hold wireless prompt terminal is carried by medical personnel relevant in the lesion; Every alarm terminal has unique ID address in network; But wireless alerts and warning message that wireless receiving sends from centralized control unit, but the content of terminal display reminding or warning, medical personnel receive can manually send to system by the confirmation of receipt button after the information and receive affirmation; Centralized control unit can stop to send the caution prompting after receiving and returning affirmation, and recorder person ID.The electronic cue screen can be installed in the lesion zones of different as required, like corridor, lesion, liquor room, doctor Office Area etc., in order to show relevant information.Wired and the wireless alerts warning subsystem program of medical personnel: comprise prompting, warning message electronic cue screen display routine: the mode with literal this Automatic Program is lined up the information warning of each unit or the generation of preset unit according to priority and urgency level after is sent to respective regions electronic cue screen; Change information such as liquid prompting, the prompting of patient infusion velocity sag, patient's urgent call like patient, the relevant nurse of prompting is correlated with to the ward and makes an inspection tour and handle.After the task of information is finished dealing with, can accomplish and stop the relevant information demonstration through nurse station computer client mark; Prompting, warning message medical personnel hand-hold wireless prompt terminal router: the mode with literal this Automatic Program is lined up the information warning of each unit or the generation of preset unit according to priority and urgency level after is sent to medical personnel's hand-hold wireless prompt terminal.
8, sick other medical custodial care facility adopts conventional equipment, through its with RS232 interface or network interface be connected with head of a bed multifunctional controller, realize monitoring function to the medical custodial care facility in bed side.The present invention can also be to the upgrading of expansion of head of a bed multifunctional controller port hardware and port drivers; Insert the other equipment of more bed; For example can insert and be used to collect the other medical examination of bed or the therapeutic equipment etc. that patient temperature data electric body-temperature sensor and some have the data output function, centralized control unit is realized the said equipment is monitored and management function through corresponding software extensions.
It is emphasized that; Embodiment of the present invention is illustrative; Rather than it is determinate; Therefore the present invention is not limited to the embodiment described in the embodiment, and every other embodiments that drawn by those skilled in the art's technical scheme according to the present invention belong to the scope that the present invention protects equally.
Claims (10)
1. other information intelligent complex control system of medical patient's bed; It is characterized in that: comprise centralized control unit, hub, head of a bed multifunctional controller, the other peripheral device of bed and medical personnel's wire/wireless prompting alarm unit; Head of a bed multifunctional controller is connected through network interface or RS232 interface with the other peripheral device of bed and is used for information acquisition and the control to the other peripheral device of bed; Head of a bed multifunctional controller also is connected with centralized control unit through hub and is used for the information transmission; Centralized control unit also is connected through network interface and medical personnel's wire/wireless prompting alarm unit, and medical personnel's wire/wireless prompting alarm unit information of carrying out that also is connected with electronic display, medical personnel's hand-hold wireless prompt terminal shows or voice call function.
2. the other information intelligent complex control system of medical patient's bed according to claim 1 is characterized in that: the other peripheral device of described bed comprises that time control unlatching medicine box, transfusion monitoring the process device, patient are at the other medical custodial care facility of bed condition monitoring device, patient's voice call answer device and bed.
3. the other information intelligent complex control system of medical patient's bed according to claim 1 is characterized in that: described centralized control unit is connected and composed through LAN by centralized control unit server, nurse station computer client, the doctor computer client of standing.
4. the other information intelligent complex control system of medical patient's bed according to claim 1; It is characterized in that: described head of a bed multifunctional controller comprises information interaction subelement, information processing subelement, information transmission subelement and power management subelement; The information processing subelement is connected with the information transmission subelement with the information interaction subelement respectively; The information interaction subelement is connected with the other peripheral device of bed; The information transmission subelement is connected with hub, and the power management subelement is connected with each unit and peripheral device provides the low-voltage safety reference power supply for it.
5. the other information intelligent complex control system of medical patient's bed according to claim 4 is characterized in that: described information processing subelement is become to be used for to send to the information transmission subelement after all information and the conversion processing of the mutual subelement input of acquisition of information by single-chip microcomputer or ARM mechanism or the order of receiving center control module is controlled the other peripheral device of bed; Described information interaction subelement is connected and composed at the other medical custodial care facility control module of bed condition monitoring control module, patient's voice call answer device control module and bed by central processing unit, medicine box control module, transfusion monitoring the process device control module, patient; Central processing unit, medicine box control module, transfusion monitoring the process device control module, patient all adopt independently single-chip microcomputer at bed condition monitoring control module, patient's voice call answer device control module; The information transmission subelement is configured for the information processing subelement by single-chip microcomputer and centralized control unit carries out exchanges data, and this information transmission subelement has unique hardware address coding in network.
6. the other information intelligent complex control system of medical patient's bed according to claim 1; It is characterized in that: described time control is opened medicine box and is comprised main ingredient box, Cang Gai, LCDs and the control circuit thereof with independent medicine storehouse; This circuit control section is connected to form by medicine box master controller, each medicine storehouse controller and LCDs; The medicine box master controller is formed by single-chip microcomputer with each medicine storehouse controller; Medicine box master controller and each medicine storehouse controller adopt the communication of inner full duplex serial mode, and each medicine storehouse controller also is connected with time showing module, storehouse cover sensor and storehouse lid drive unit and is used for time showing, Cang Gai opens and judges and Cang Gai unlatching driving.
7. the other information intelligent complex control system of medical patient's bed according to claim 6; It is characterized in that: described time control is opened medicine box and is comprised that also a hand-held drug putting is provided with device; Should control circuit that hand handle and inside thereof comprising of device be set hand-held drug putting; This control circuit circuit is connected and composed by central processing unit and RS232 interface, keyboard, storer and display screen, and hand-held drug putting is provided with device and through RS232 interface and hand-held drug putting device is set and carries out Communication Control.
8. the other information intelligent complex control system of medical patient's bed according to claim 1 is characterized in that: described transfusion monitoring the process device is by dripping number infrared sensor, aneroid infrared sensor, ambient brightness photoelectric sensors, keyboard being set and auxiliary circuit connects and composes.
9. the other information intelligent complex control system of medical patient's bed according to claim 1; It is characterized in that: described patient is made up of at bed and bed condition monitoring software humidity sensor, pressure transducer, the patient that is installed in nurse station computer client at bed condition monitoring device; Humidity sensor is installed on one's sick bed, and pressure transducer is installed in sick bed bottom forced section.
10. the other information intelligent complex control system of medical patient's bed according to claim 1; It is characterized in that: described medical personnel's wire/wireless prompting alarm unit is by audio-frequency generator, note amplifier, audio amplifier, video card and display screen and be installed in the wired and wireless alerts alarm software of its inner medical personnel and form; This alarm unit is connected with wireless launcher and realizes the communication function with medical personnel's hand-hold wireless prompt terminal, and this alarm unit and electronic cue shield to be connected and be used to point out and the demonstration of warning message.
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