A kind of implantable medical devices long distance control system and method
Technical field
The present invention relates to implantable medical system field, especially implantable medical devices long distance control system and long-distance monitoring method.
Background technology
Implantable medical devices (IMD) generally includes the implantable nerve electric stimulation and (comprises brain deep electro photoluminescence DBS; The implanted cortex stimulates CNS; Implanted spinal cord stimulation trial SCS; Implanted sacral nerve electro photoluminescence SNS, implanted vagus nerve electro photoluminescence VNS etc.), implantable cardiac electric stimulation (being commonly called as pacemaker), implanted drug infusion system (IDDS).
With the implantable nerve electric stimulation is example, mainly comprises the pulse producer, electrode and the external control device that implant.Wherein, Pulse producer is connected with electrode; Thereby the burst transmissions that pulse producer produced is arrived electrode, and the pulse signal that pulse producer produces transfers to heart by electrode or electro photoluminescence is carried out at specific neural position, thereby makes function of human body return to the state of normal operation.External control device comprises doctor's program controller, patient's controller.
Wherein, patient's controller is to be the device of being used for of being equipped with of patient according to the output parameter of pulse producer in own situation CS or the control agent, and patient usually only can adjusting voluntarily in the range of adjustment that the doctor is provided with.Doctor's program controller is that the doctor is used for the device according to the output parameter of pulse producer in the patient regulating and controlling body, and common doctor's program controller can be used to control a plurality of pulse producers.Patient's controller and doctor's program controller can communicate through wireless communications mode, magnetic coil or other communication modes and pulse producer.
In the implant surgery of pulse producer and in the therapeutic process after implanting, all need the paired pulses generator to carry out the adjustment of stimulation parameter, present program control process all be patient in face of the doctor, patient closely implemented and accomplish by the doctor.Because be limited to the restriction of the communication technology of the employed doctor's program controller of present implantable nerve electrical stimulation technology, patient's controller and stimulator for implantation, the communication distance of doctor's program controller, patient's controller and implantable pulse generator is generally in 10 meters.
Because patient comes back home behind the implantable neural electrical stimulation device; Patient's family is often far away apart from hospital; From several kilometers to several thousand kilometers; Patient gos to hospital to register to look for the program control or doctor of the doctor in charge program control distance of need growing in people location of preventing or cure a disease; Not only need spended time and money cost, increased the weight of the financial burden of patient family, the also unsuitable long-distance travel of some seriously ill patient; Therefore need a kind of doctor of making badly and can obtain the diagnostic messages such as parameter information of patient's audio frequency and video and implantable medical devices in hospital or doctor's diagnosis and treatment terminal station, thus the implanted medical device long distance control system of the remote monitoring of the medicine equipment of realizing patient is implanted.
Summary of the invention
To the deficiency that exists in the prior art; The technical matters that the present invention will solve provides a kind of lower-cost implantable medical devices long distance control system simple in structure and method; Make patient need not that vessel is fatigued accepts the program control adjusting parameter of doctor to hospital; At home or the patient terminal website can the parameter information in audio frequency and video and the implantable medical devices be communicated by letter with doctor's doctor's program controller and terminal multi-media apparatus remote, realize the remote monitoring and the control of remote diagnosis and implantable medical devices.
According to technical scheme provided by the present invention; A kind of implantable medical devices long distance control system comprises implantable medical devices, patient's controller, patient terminal multimedia telecom equipment, doctor's program controller, doctor's terminal multi-media communication facilities in the implant patient body;
The two-way communication that is connected with the patient terminal multimedia telecom equipment of said patient's controller; The two-way communication that is connected with doctor's terminal multi-media communication facilities of said doctor's program controller, said patient terminal multimedia telecom equipment and doctor's terminal multi-media communication facilities are through the two-way communication that is connected of wire/wireless telecommunications network;
Said patient terminal multimedia telecom equipment is transferred to doctor's terminal multi-media communication facilities with patient's the video and/or audio information and the parameter information of implantable medical devices through the wire/wireless telecommunications network; The doctor analyzes the back to above-mentioned diagnostic message and uses doctor's program controller that monitor message is inputed to implantable medical devices through doctor's terminal multi-media communication facilities, patient terminal multimedia telecom equipment, patient's controller successively, realizes the remote monitoring to implantable medical devices output.
Preferably, said implantable medical devices comprises and is used for the first communication module of communicating by letter with patient's controller;
Said patient's controller comprises and is used for second communication module of communicating by letter with implantable medical devices and the third communication module that is used for communicating by letter with the patient terminal multimedia telecom equipment;
Said doctor's program controller comprises the four-way letter module that is used for doctor's terminal multi-media communication apparatus communication;
Said doctor's terminal multi-media communication facilities comprises and the five-way letter module of said four-way letter module communication, the 6th communication module of communicating by letter with the patient terminal multimedia telecom equipment, doctor's terminal multi-media electronic installation;
Said patient terminal multimedia telecom equipment comprise with the 7th communication module of said third communication module communication, with the 8th communication module, the patient terminal electronic multimedia device of doctor's terminal multi-media communication apparatus communication;
Said the 6th communication module and the 8th communication module are through the two-way communication of wire/wireless telecommunications network.
Preferably, said first communication module and second communication module are the RF wireless communication module.
Preferably, said wire/wireless telecommunications network is a kind of in wired telephone network, cable TV network, LAN, Metropolitan Area Network (MAN), wide area network, internet, cdma network, GSM network, 3G network, the GPRS network.
Preferably, said doctor's terminal multi-media electronic installation and patient terminal electronic multimedia device comprise camera that images acquired uses, display that image shows usefulness, gather microphone, the loudspeaker of the usefulness that plays sound, multimedia memory device that sound is used.
Preferably, said doctor's terminal multi-media electronic installation also comprises the telechiric device that is used for remote control patient terminal camera controlled variable.
Preferably, the video of remote transmission, audio-frequency information are the real-time information or the information of having preserved between said doctor's terminal multi-media communication facilities and the patient terminal multimedia telecom equipment.
Preferably, described implantable medical devices is embedded nerve stimulator, implantable cardiac pacemaker, implanted cardioverter-defibrillators or implanted infusion of drug device.
The present invention also provides a kind of implantable medical devices long-distance monitoring method, may further comprise the steps:
A: doctor's program controller is connected with doctor's terminal multi-media communication facilities; Patient's controller is connected with the patient terminal multimedia telecom equipment, and doctor's terminal multi-media communication facilities is connected through the wire/wireless telecommunications network with the patient terminal multimedia telecom equipment;
B: patient is transferred to doctor's terminal multi-media communication facilities with the parameter information of diagnostic video/audio information and implantable medical devices through the patient terminal multimedia telecom equipment, and the doctor analyzes the patient's diagnostic message that receives;
C: the doctor uses doctor's program controller that monitor message is transferred to patient's controller through doctor's terminal multi-media communication facilities, patient terminal multimedia telecom equipment successively;
D: said patient's controller transfers to implantable medical devices with the monitor message that receives implantable medical devices is carried out remote monitoring and output adjusting control.
Preferably; Said doctor's terminal multi-media communication facilities and many butterflies of patient terminal body communication equipment include the electronic multimedia device, and said electronic multimedia device comprises camera that images acquired uses, display that image shows usefulness, gathers microphone, the loudspeaker of the usefulness that plays sound, multimedia memory device that sound is used.
Preferably, said wire/wireless telecommunications network is a kind of in wired telephone network, cable TV network, LAN, Metropolitan Area Network (MAN), wide area network, internet, cdma network, GSM network, 3G network, the GPRS network.
Preferably, the electronic multimedia device at said doctor terminal also comprises the angle that is used for remote control patient terminal camera and the remote control hand lever of focal length, comprises also that in step B the doctor uses the step of remote control hand lever collection patient multi-angle details diagnostic message.
Preferably, the video of remote transmission, audio-frequency information are the real-time information or the information of having preserved between said doctor's terminal multi-media communication facilities and the patient terminal multimedia telecom equipment.
Preferably, described implantable medical devices is embedded nerve stimulator, implantable cardiac pacemaker, implanted cardioverter-defibrillators or implanted infusion of drug device.
Advantage compared with prior art of the present invention is: the present invention has utilized existing wired/wireless telecommunications network; The patient terminal multimedia telecom equipment is connected with this telecommunications network with doctor's terminal multi-media communication facilities; Again patient's controller is connected with the patient terminal multimedia telecom equipment; Doctor's program controller is connected with doctor's terminal multi-media communication facilities; Make doctor's program controller and patient's controller can realize bidirectional real-time, read or write data by patient's controller to implantable medical devices and realize output monitoring.
Therefore; When patient needs regular further consultation or program control adjusting; Patient only need stay at home or have the website of equipment for surfing the net; The transmission of the parameter information through the audio frequency and video between patient and the doctor, implantable medical devices and the programmable data of the long-range program controller of doctor is interactive, and the doctor can be monitored patient's implantable medical devices in hospital or medical centre at a distance, and patient need not doctor and patient's time raising patient has been saved in long-distance travel greatly to hospital result of treatment; Alleviated patient's financial burden, and system architecture is simple, cost is lower.
Description of drawings
Accompanying drawing 1 is module principle figure of the present invention;
Accompanying drawing 2 is the module principle figure of implantable medical devices of the present invention;
Accompanying drawing 3 is the module principle figure of patient's controller of the present invention;
Accompanying drawing 4 is the module principle figure of doctor's program controller of the present invention;
Accompanying drawing 5 is the module principle figure of doctor's terminal multi-media communication facilities of the present invention and patient terminal multimedia telecom equipment;
Accompanying drawing 6 is a principle flow chart of the present invention;
Wherein:
1, implantable medical devices; 11, first communication module; 2, patient's controller; 21, second communication module; 22, third communication module; 3, patient terminal multimedia telecom equipment; 31, the 7th communication module; 32, the 8th communication module; 33, patient terminal electronic multimedia device; 4, doctor's terminal multi-media communication facilities; 41, five-way letter module; 42, the 6th communication module; 43, doctor's terminal multi-media electronic installation; 5, doctor's program controller; 51, four-way letter module.
Embodiment
Below in conjunction with accompanying drawing the present invention is done further detailed explanation:
With reference to Fig. 1, a kind of implantable medical devices long distance control system comprises implantable medical devices 1, patient's controller 2, patient terminal multimedia telecom equipment 3, doctor's terminal multi-media communication facilities 4, doctor's program controller 5 in the implant patient body.
The two-way communication that is connected with patient terminal multimedia telecom equipment 3 of said patient's controller 2; The two-way communication that is connected with doctor's terminal multi-media communication facilities 4 of said doctor's program controller 5, said patient terminal multimedia telecom equipment 3 and doctor's terminal multi-media communication facilities 4 are through the two-way communication that is connected of wire/wireless telecommunications network.Patient's controller 2 described in the present invention is connected with patient terminal multimedia telecom equipment 3 and not only comprises wired connection, as being connected through the usb data line, also comprises through bluetooth, infrared, Wi-Fi wireless connections.Likewise, doctor's program controller 5 is connected with doctor's terminal multi-media communication facilities 4 and comprises that not only wired connection also comprises wireless connections.
Said patient terminal multimedia telecom equipment 3 is transferred to doctor's terminal multi-media communication facilities 4 with patient's the video and/or audio diagnostic message and the parameter information of implantable medical devices through the wire/wireless telecommunications network.The parameter information of implantable medical devices described herein comprises the output parameter information and information such as the electrode impedance that measures, battery dump energy of implantable medical devices 1, and patient's the video and/or audio diagnostic message and the parameter information of implantable medical devices are referred to as diagnostic message.Said diagnostic message all is transferred to doctor's terminal multi-media communication facilities 4 through the wire/wireless telecommunications network.
The doctor analyzes the back to this diagnostic message and uses doctor's program controller 5 that monitor message is inputed to implantable medical devices 1 through doctor's terminal multi-media communication facilities 4, patient terminal multimedia telecom equipment 3, patient's controller 2 successively, realizes the remote monitoring to implantable medical devices 1 output.
Specifically, the first communication module 11 that with reference to Fig. 2, said implantable medical devices 1 comprises the microprocessor system module, be used for communicating by letter with patient's controller 2, be the power supply of above-mentioned module for power supply.
With reference to Fig. 3, said patient's controller 2 comprises the microprocessor system module, is used for second communication module 21 of communicating by letter with implantable medical devices 1 and the third communication module 22 that is used for communicating by letter with patient terminal multimedia telecom equipment 3 and is the power supply of above-mentioned module for power supply; Said first communication module 11 is the RF wireless communication module with second communication module 21.
With reference to Fig. 4, said doctor's program controller 5 comprises the microprocessor system module, is used for the four-way letter module 51 of communicating by letter with doctor's terminal multi-media communication facilities 4 and is the power supply of above-mentioned module for power supply.
With reference to Fig. 5, said doctor's terminal multi-media communication facilities 4 comprises that microprocessor system module, the five-way of communicate by letter with said four-way letter module 51 believe module 41, the 6th communication module 42, doctor's terminal multi-media electronic installation 43 of communicating by letter with patient terminal multimedia telecom equipment 3 and be the power supply of above-mentioned module for power supply.Said four-way letter module 51 believes that with five-way module 41 can adopt the wired or wireless communication mode to communicate, and can be a kind of in Wi-Fi wireless communication module, bluetooth communication, infrared communication module, the usb communication module.
Said patient terminal multimedia telecom equipment 3 comprises microprocessor system module, the 7th communication module 31 of communicating by letter with said third communication module 22, the 8th communication module 32, the patient terminal electronic multimedia device 33 of communicating by letter with doctor's terminal multi-media communication facilities 4 and is the power supply of above-mentioned module for power supply.Said third communication module 22 and the 7th communication module 31 can adopt the wired or wireless communication mode to communicate, can be in Wi-Fi wireless communication module, bluetooth communication, infrared communication module, the usb communication module a kind of.
Said the 6th communication module 42 and the 8th communication module 32 are through the two-way communication of wire/wireless telecommunications network.Said wire/wireless telecommunications network is a kind of in wired telephone network, cable TV network, LAN, Metropolitan Area Network (MAN), wide area network, internet, cdma network, GSM network, 3G network, the GPRS network.
Said doctor's terminal multi-media electronic installation 43 and patient terminal electronic multimedia device 33 comprise camera that images acquired uses, display that image shows usefulness, gather microphone, the loudspeaker of the usefulness that plays sound, multimedia memory device that sound is used.For example, doctor's terminal multi-media electronic installation 43 can be a computing machine or a workstation with multimedia function with patient terminal electronic multimedia device 33, is used to gather patient and doctor's audio/video information.Doctor's terminal multi-media electronic installation also comprises the telechiric device that is used for remote control patient terminal camera controlled variable.In this embodiment, telechiric device is a control lever, and parameters such as the position that the doctor can be through operating rod remote control adjustment patient terminal camera, angle, focal length are to obtain the diagnostic message of multi-angle details.
Compared with prior art; When patient needs regular further consultation or program control adjusting; But patient only need use network computer at home or remove to have the medical centre website of equipment for surfing the net; The transmission of the parameter information through the audio frequency and video between patient and the doctor, implantable medical devices and the programmable data of long-range doctor's program controller is interactive; The doctor can be monitored patient's implantable medical devices at a distance hospital or medical centre, and patient need not long-distance travel and has saved doctor and patient's time raising patient's result of treatment greatly to hospital, has alleviated patient's financial burden.And the computer with multimedia function that only needs two communications of surfing the Net can be realized long-range program control, and system architecture is simple and cost is lower.
Video, the audio-frequency information of remote transmission are real-time information or the protected by treatment of having preserved morbidity information between said doctor's terminal multi-media communication facilities 4 and the patient terminal multimedia telecom equipment 3, are convenient to the doctor and more comprehensively understand patient's state of an illness and correctly make diagnosis.
The present invention may be used on multiple implantable medical system according to the difference of treatment disease.Described implantable medical devices 1 can be embedded nerve stimulator, implantable cardiac pacemaker, implanted cardioverter-defibrillators or implanted infusion of drug device.Wherein embedded nerve stimulator can be applicable in implanted brain deep electric stimulation, implanted cortex electric stimulation, implanted spinal cord stimulation trial system, implanted sacral nerve electric stimulation or the implanted vagus nerve electric stimulation.
The present invention also provides a kind of implantable medical devices long-distance monitoring method, may further comprise the steps:
A: doctor's program controller is connected with doctor's terminal multi-media communication facilities; Patient's controller is connected with the patient terminal multimedia telecom equipment, and doctor's terminal multi-media communication facilities is connected through the wire/wireless telecommunications network with the patient terminal multimedia telecom equipment;
B: patient is transferred to doctor's terminal multi-media communication facilities with the parameter information of diagnostic video/audio information and implantable medical devices through the patient terminal multimedia telecom equipment, and the doctor analyzes the patient's diagnostic message that receives;
C: the doctor uses doctor's program controller that monitor message is transferred to patient's controller through doctor's terminal multi-media communication facilities, patient terminal multimedia telecom equipment successively;
D: said patient's controller transfers to implantable medical devices with the monitor message that receives implantable medical devices is carried out remote monitoring and output adjusting control.
Said doctor's terminal multi-media communication facilities 4 includes the electronic multimedia device with patient terminal multimedia telecom equipment 3, and said electronic multimedia device comprises camera that images acquired uses, display that image shows usefulness, gathers microphone, the loudspeaker of the usefulness that plays sound, multimedia memory device that sound is used.
Said wire/wireless telecommunications network is a kind of in wired telephone network, cable TV network, LAN, Metropolitan Area Network (MAN), wide area network, internet, cdma network, GSM network, 3G network, the GPRS network.
The electronic multimedia device at said doctor terminal also comprises the angle that is used for remote control patient terminal camera and the remote control hand lever of focal length, comprises also that in step B the doctor uses the step of remote control hand lever collection patient multi-angle details diagnostic message.
The video of remote transmission, audio-frequency information are the real-time information or the information of having preserved between said doctor's terminal multi-media communication facilities and the patient terminal multimedia telecom equipment.
Implantable medical devices in the said method can be embedded nerve stimulator, implantable cardiac pacemaker, implanted cardioverter-defibrillators or implanted infusion of drug device, and wherein embedded nerve stimulator can be applicable in implanted brain deep electric stimulation, implanted cortex electric stimulation, implanted spinal cord stimulation trial system, implanted sacral nerve electric stimulation or the implanted vagus nerve electric stimulation.
The present invention also can have other various embodiments; Under the situation that does not deviate from spirit of the present invention and essence; Those skilled in the art can make various corresponding changes and distortion according to the present invention, but these corresponding changes and distortion all should belong to the scope of claim protection of the present invention.