JP2002219109A - Diagnostic and emergency medical care system for heart diseases utilizing cellular phone - Google Patents
Diagnostic and emergency medical care system for heart diseases utilizing cellular phoneInfo
- Publication number
- JP2002219109A JP2002219109A JP2001057468A JP2001057468A JP2002219109A JP 2002219109 A JP2002219109 A JP 2002219109A JP 2001057468 A JP2001057468 A JP 2001057468A JP 2001057468 A JP2001057468 A JP 2001057468A JP 2002219109 A JP2002219109 A JP 2002219109A
- Authority
- JP
- Japan
- Prior art keywords
- patient
- automatic
- diagnosis
- mobile phone
- automatically
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Pending
Links
- 208000019622 heart disease Diseases 0.000 title claims description 11
- 230000001413 cellular effect Effects 0.000 title abstract 3
- 238000003745 diagnosis Methods 0.000 claims abstract description 47
- 230000004913 activation Effects 0.000 claims description 7
- 230000005540 biological transmission Effects 0.000 claims description 7
- 230000005856 abnormality Effects 0.000 claims description 6
- 238000012544 monitoring process Methods 0.000 claims description 5
- 230000003213 activating effect Effects 0.000 claims 1
- 208000003663 ventricular fibrillation Diseases 0.000 abstract description 6
- 238000000034 method Methods 0.000 abstract description 3
- 206010014357 Electric shock Diseases 0.000 description 7
- 230000007257 malfunction Effects 0.000 description 7
- 206010010904 Convulsion Diseases 0.000 description 6
- 206010049119 Emotional distress Diseases 0.000 description 6
- 230000006870 function Effects 0.000 description 5
- 230000000694 effects Effects 0.000 description 4
- 206010042434 Sudden death Diseases 0.000 description 3
- 230000002159 abnormal effect Effects 0.000 description 3
- 208000024891 symptom Diseases 0.000 description 3
- 238000004891 communication Methods 0.000 description 2
- 230000009429 distress Effects 0.000 description 2
- 238000002565 electrocardiography Methods 0.000 description 2
- 206010047302 ventricular tachycardia Diseases 0.000 description 2
- 208000019901 Anxiety disease Diseases 0.000 description 1
- 208000000059 Dyspnea Diseases 0.000 description 1
- 206010013975 Dyspnoeas Diseases 0.000 description 1
- 208000010496 Heart Arrest Diseases 0.000 description 1
- 208000001871 Tachycardia Diseases 0.000 description 1
- 230000036506 anxiety Effects 0.000 description 1
- 206010003119 arrhythmia Diseases 0.000 description 1
- 230000006793 arrhythmia Effects 0.000 description 1
- 238000001514 detection method Methods 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 208000002173 dizziness Diseases 0.000 description 1
- 238000002635 electroconvulsive therapy Methods 0.000 description 1
- 230000004217 heart function Effects 0.000 description 1
- 230000003340 mental effect Effects 0.000 description 1
- 208000010125 myocardial infarction Diseases 0.000 description 1
- 208000013220 shortness of breath Diseases 0.000 description 1
- 230000006794 tachycardia Effects 0.000 description 1
Landscapes
- Electrotherapy Devices (AREA)
- Measuring And Recording Apparatus For Diagnosis (AREA)
- Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
- Alarm Systems (AREA)
- Medical Treatment And Welfare Office Work (AREA)
Abstract
Description
【0001】[0001]
【発明の属する技術分野】この発明は、携帯電話を利用
する心臓病の診断ならびに緊急処置に関わるもので、常
時の診断監視をより容易かつ確実ならしめると共に、緊
急時により迅速適確に対処し得ることを目的としたシス
テムである。BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to the diagnosis and emergency treatment of heart disease using a mobile phone. It is a system aimed at obtaining.
【0002】[0002]
【従来の技術】従来、病院内においては有線や無線によ
る心電図等の集中監視法は一般的であるが、日常生活中
の心電図検診手段としては、心疾患発症後に心電図を採
っても異常を検出できない場合があるので携帯型の小型
記録装置で自動記録し、行動や自覚症状の記録及びその
時点に押されたイベントマークと併せて心電図異状を診
断するホルター心電図法があった。この方法では日常生
活中に生じた不整脈や各種心疾患の診断が可能になる
が、患者の異常事態に対する即応性がないという問題が
あった。即ち、異常発作に備えて長期間ホルターで常時
監視しようとすると情報量は膨大となり高速の自動解析
装置が必要となるが、このような解析装置の常時携帯は
経費や手間の面で実現困難であるのみならず、従来のホ
ルター心電図法では記録から診断までに時間遅れがある
ため、心室細動や心筋梗塞のように突発的に緊急治療を
必要とする場合には役に立たないという不都合があっ
た。2. Description of the Related Art Conventionally, in a hospital, intensive monitoring of an electrocardiogram or the like by wire or wireless is generally used. There has been a Holter electrocardiography method in which the electrocardiogram is automatically recorded by a portable small recording device, and the behavior and subjective symptoms are recorded, and the electrocardiogram abnormality is diagnosed together with the event mark pressed at that time. Although this method makes it possible to diagnose arrhythmias and various heart diseases that occur during daily life, there is a problem that patients are not responsive to abnormal situations. In other words, if an attempt is made to constantly monitor the holter for a long period of time in preparation for an abnormal seizure, the amount of information is enormous and a high-speed automatic analyzer is required, but it is difficult to carry such an analyzer at all times in terms of cost and labor. In addition, conventional Holter electrocardiography has a time lag between recording and diagnosis, which is inconvenient when sudden emergency treatment is required, such as ventricular fibrillation or myocardial infarction. .
【0003】特に心停止の原因となる心室細動や心室頻
拍などは突発的に発生するが、突然死の60〜70%は
病院搬入前に起こるといわれ、発症後の短時間の救急処
置は極めて大切である。これに対処する為に近年人体埋
込み型の電気式除細動器が開発されて米国では心室細動
や心室頻拍による突然死が25〜30%から約2%に激
減したといわれており、新治療法として確立されつつあ
る。しかしながら、該除細動器はしばしば誤って起動す
るため、誤動作に伴う患者の肉体的苦痛はもちろん精神
的不安が大きいという問題が残されている。In particular, ventricular fibrillation and ventricular tachycardia, which cause cardiac arrest, occur suddenly, but it is said that 60 to 70% of sudden death occurs before being brought into a hospital, and a short-term emergency treatment after onset Is extremely important. In recent years, implantable cardioverter-defibrillators have been developed to address this, and in the United States, sudden death due to ventricular fibrillation or ventricular tachycardia is said to have dropped sharply from 25-30% to about 2%. It is being established as a new treatment. However, since the defibrillator is often activated by mistake, there remains a problem that the patient suffers from physical distress and mental anxiety due to the malfunction.
【0004】[0004]
【発明が解決しようとする課題】以上に鑑みこの発明
は、日常生活中の心電図検診システムにおいて、経費や
手間を最小として異常発作時の機会を見逃すことなく診
断可能にすることと、発作時に緊急治療を必要とする場
合は最短時間以内の治療開始を可能とすること、さらに
心室細動などに備える電気式除細動器の誤動作を減らし
て患者の肉体的精神的苦痛を可及的に少なくすること、
などを目的としている。SUMMARY OF THE INVENTION In view of the above, it is an object of the present invention to provide an electrocardiogram examination system in daily life that enables diagnosis without losing an opportunity for an abnormal seizure while minimizing cost and labor, and an emergency for an emergency seizure. When treatment is required, the treatment can be started within the shortest time, and the malfunction of the electric defibrillator for ventricular fibrillation etc. is reduced to minimize the physical and mental distress of the patient as much as possible To do,
And so on.
【0005】[0005]
【課題を解決するための手段】上記の課題を解決する手
段として、本発明は心電図をコンピューターで解析する
自動解析診断装置の高い精度に着目してこれを活用する
ものである。即ち、請求項1に記載の発明は、携帯電話
を利用して患者が心電図情報を予め契約した監視センタ
ーに電送するシステムであって、コンピューターで心電
図情報を自動解析する自動解析診断装置を監視センター
に多数設け、電送された心電図情報を該自動解析診断装
置の一つに配信すると共に、心電図情報と自動解析診断
装置の自動診断結果とを該患者の電子カルテに自動的に
記録させ、かつ診断結果が緊急処置の必要性を示した場
合には自動的に緊急手配が行われることを特徴とする、
携帯電話を利用する心臓病の診断・緊急処置システムで
ある。As a means for solving the above-mentioned problems, the present invention focuses on the high accuracy of an automatic analysis / diagnosis device for analyzing an electrocardiogram by a computer and utilizes it. That is, the invention according to claim 1 is a system in which a patient transmits electrocardiogram information to a pre-contracted monitoring center using a mobile phone. And automatically distribute the transmitted electrocardiogram information to one of the automatic analysis / diagnosis devices, and automatically record the electrocardiogram information and the automatic diagnosis result of the automatic analysis / diagnosis device on the electronic medical record of the patient, and perform the diagnosis. If the result indicates the need for emergency treatment, emergency arrangements will be made automatically,
It is a diagnosis and emergency treatment system for heart disease using a mobile phone.
【0006】また、請求項2に記載の発明は請求項1に
記載の発明において、自動解析診断装置に心電図情報と
自動診断結果とを表示する機能と異常時に警報を発する
機能とを備えて、警報が発令された場合に該心電図情報
と自動診断結果とを監視センターの医師が確認できるよ
うに配備したことを特徴とする、携帯電話を利用する心
臓病の診断・緊急処置システムである。According to a second aspect of the present invention, in the first aspect, the automatic analysis / diagnosis apparatus has a function of displaying electrocardiogram information and an automatic diagnosis result, and a function of issuing an alarm when an abnormality occurs. A heart disease diagnosis / emergency treatment system using a mobile phone, which is provided so that a doctor of a monitoring center can check the electrocardiogram information and the automatic diagnosis result when an alarm is issued.
【0007】また、請求項3に記載の発明は請求項1に
記載の発明において、携帯電話に現在位置送信機能を併
設して、患者が心電図情報を電送した際に患者の現在位
置も自動的に電送され、自動解析診断装置の自動診断結
果が緊急処置の必要性を示した場合は、予め登録された
病院群の中から患者の現在位置と最短距離でかつ利用可
能な病院を自動的に選択すると同時に、該病院に電子カ
ルテの内容を電送することと患者を緊急輸送する救急車
を手配することとを自動的に行うことを特徴とする、携
帯電話を利用する心臓病の診断・緊急処置システムであ
る。According to a third aspect of the present invention, in the first aspect of the present invention, a current position transmitting function is provided in the portable telephone, so that the patient's current position is automatically set when the patient transmits electrocardiogram information. If the automatic diagnosis result of the automatic analysis and diagnosis device indicates the necessity of emergency treatment, the hospital which is the shortest distance and available to the current position of the patient from the pre-registered hospital group is automatically Diagnosis and emergency treatment of heart disease using a mobile phone, characterized by automatically transmitting the contents of the electronic medical record to the hospital and arranging an ambulance for urgently transporting the patient at the same time as the selection. System.
【0008】また、請求項4に記載の発明は請求項1に
記載の発明において、常時患者に装着されている電気式
除細動器を携帯電話の接続端子と電気的に接続して、該
除細動器の起動・不起動を監視センターの自動解析診断
装置の自動的指示もしくは監視する医師の判断による電
送指示で遠隔操作することを第一優先とし、一定時間経
過してもなお起動・不起動の電送指示が無い場合にのみ
除細動器が自動的に起動するように配設したことを特徴
とする、携帯電話を利用する心臓病の診断・緊急処置シ
ステムである。According to a fourth aspect of the present invention, in the first aspect of the present invention, an electric defibrillator always attached to a patient is electrically connected to a connection terminal of a mobile phone. The first priority is to remotely control activation / non-activation of the defibrillator by the automatic instruction of the automatic analysis / diagnosis device of the monitoring center or the transmission instruction by the judgment of the monitoring physician. A heart disease diagnosis / emergency treatment system using a mobile phone, wherein the defibrillator is automatically activated only when there is no non-activation transmission instruction.
【0009】[0009]
【発明の実施の形態】以下、本発明を実施形態例を示す
図1に基づいて説明する。DESCRIPTION OF THE PREFERRED EMBODIMENTS The present invention will be described below with reference to FIG.
【0010】図1の実施例において、ソケット1は従来
のホルターシステムと同様に患者の体表面に貼着した電
極からの誘導コード(電極及び誘導コードは図示せず)
等を纏めた結合部であり、誘導コードを伝わる心電図情
報はコネクター2を通じて携帯電話3に接続されてい
る。このようにして、常時もしくは患者が胸痛・動悸・
頻脈・息切れ・めまいなどの心機能に関わる異常(自覚
症状)を感じた際などに携帯電話3の特定ボタンを押す
ことによって患者の心電図情報が電送され、予め契約し
た監視センター4の通信装置5で受信される。通信装置
5は受信発信と配信の機能を持ち、受信された心電図情
報を多数の自動解析診断装置6の中で該時間に休止中の
装置を自動的に選択して配信する。該自動解析診断装置
6は心電図波形をコンピュータにより精密かつ迅速に自
動解析・診断する装置であって、周知のように高速装置
であれば例えば24時間の膨大な記録を5分程度で処理
できるものである。この自動解析診断装置6による自動
診断結果は、心電図情報と共に各患者毎に設けた電子カ
ルテ7の中の該患者のカルテに記録される。電子カルテ
7は、周知のように患者の検査データ・病歴・所見など
全てが電子記録され、異なる医療機関でも共通に使用し
得るものである。また、患者が携帯電話3を通じて自覚
症状やイベントを通話することによって、通話記録もデ
ータとして電子カルテ7に記録することができる。なお
以上の構成において、監視センター4は特定の大病院内
に設置するとよい。In the embodiment shown in FIG. 1, the socket 1 is provided with a lead cord from an electrode attached to the patient's body in the same manner as in the conventional Holter system (the electrode and the lead cord are not shown).
The electrocardiogram information transmitted through the lead code is connected to the mobile phone 3 through the connector 2. In this way, the patient is always or
When a specific button of the mobile phone 3 is pressed when an abnormality (a subjective symptom) related to the cardiac function such as tachycardia, shortness of breath, or dizziness is felt, the patient's electrocardiogram information is transmitted by a telecommunication device of the monitoring center 4 to which a contract is made in advance. 5 is received. The communication device 5 has a function of receiving and transmitting and distributing, and automatically selects and distributes the received electrocardiogram information among a number of automatic analysis and diagnosis devices 6 that are inactive at the time. The automatic analysis and diagnosis device 6 is a device for automatically and quickly analyzing and diagnosing an electrocardiogram waveform by a computer, and as is well known, a high-speed device capable of processing an enormous 24-hour record in about 5 minutes. It is. The result of the automatic diagnosis by the automatic analysis / diagnosis device 6 is recorded together with the electrocardiogram information in the patient's medical record in the electronic medical record 7 provided for each patient. As is well known, the electronic medical record 7 is electronically recorded with all of the patient's examination data, medical history, findings, and the like, and can be commonly used by different medical institutions. In addition, when the patient talks about a subjective symptom or event through the mobile phone 3, the call record can be recorded in the electronic medical record 7 as data. In the above configuration, the monitoring center 4 may be installed in a specific large hospital.
【0011】一方、携帯電話3には現在位置送信機能を
併設し、患者が心電図情報を監視センター4に電送した
際に同時に患者の現在位置も自動的に電送されるように
配備すると共に、監視センター4には予め登録された各
地の救急病院から患者受入れ可否の情報を常時受信せし
めてある。以上の構成の下に、自動解析診断装置6の自
動診断結果が緊急処置の必要性を示した場合には、予め
登録された病院群の中から患者の現在位置と最短距離で
かつ利用可能な病院を自動的に選択すると同時に、該病
院に電子カルテの内容を電送することと患者を緊急輸送
する救急車10を手配することとを自動的に行うような
自動システムを構築せしめる。このようにして、患者の
緊急事態には最短時間で自動的に対応することができ
る。On the other hand, the portable telephone 3 is provided with a current position transmitting function, and is arranged so that when the patient transmits the electrocardiogram information to the monitoring center 4, the current position of the patient is automatically transmitted at the same time. The center 4 constantly receives information on whether or not patients can be accepted from emergency hospitals registered in various places in advance. Under the above-described configuration, when the automatic diagnosis result of the automatic analysis and diagnosis device 6 indicates the necessity of emergency treatment, it can be used within the shortest distance to the current position of the patient from the pre-registered hospital group. At the same time as selecting a hospital automatically, an automatic system for automatically transmitting the contents of the electronic medical record to the hospital and arranging an ambulance 10 for urgently transporting a patient is constructed. In this way, a patient emergency can be automatically addressed in the shortest possible time.
【0012】また、好ましくは監視センターに医師を2
4時間常駐せしめると共に、自動解析診断装置6には心
電図情報と自動解析診断装置の自動診断結果とを表示す
るパネル8および異常時に警報を発する警報器9とを備
えることにより、自動診断結果が緊急処置の必要性を示
した場合には警報を発令して監視センターの医師に注意
を促し、医師がパネル8に表示されたデータをチェック
して緊急事態を再確認できるように配備構成することに
より、監視システムの信頼性を一層高めることができ
る。[0012] Preferably, two doctors are located at the monitoring center.
The automatic analysis / diagnosis device 6 is provided with a panel 8 for displaying electrocardiogram information and the automatic diagnosis result of the automatic analysis / diagnosis device and an alarm device 9 for issuing an alarm when an abnormality occurs. When the necessity of the treatment is indicated, an alarm is issued to alert the doctor at the monitoring center, and the doctor can check the data displayed on the panel 8 and reconfirm the emergency so as to confirm the emergency. Thus, the reliability of the monitoring system can be further improved.
【0013】また周知のように、心室細動などの発作の
懸念のある患者の胸部に埋設装着されていた従来の電気
式除細動器は、発作を検出して電撃により治療を施すも
ので突然死を防ぐ著効があるが、発作検出器を人体に設
置するという制約から構造的に高い精度を期待できなか
った。しかし万一誤動作した場合は患者の肉体的苦痛は
もちろん、誤動作の予感に起因する精神的苦痛は甚大で
あった。本発明においては監視センター4の自動解析診
断装置6の精度が高い点に着目し、電気式除細動器(図
示せず)をソケット1に接続して携帯電話3を介して該
除細動器の起動指示を監視センター4から発信する電送
指示で遠隔操作することを第一優先とし、患者の生命に
支障のない範囲内の一定時間を経過してもなお起動・不
起動の電送指示が無い場合すなわち何等かの故障で遠隔
操作が不通の場合にのみ除細動器が自動的に起動するよ
うに配設する。監視センターの自動解析診断装置6の検
出精度が高いので誤動作の確率を減らすことができるの
みならず、第1回の電撃で効果が無い場合は自動的に第
2第3の電撃を繰り返す構成とすることにより、除細動
器の信頼性を一層高めることができる。As is well known, a conventional cardioverter-defibrillator buried and mounted on the chest of a patient who is at risk of seizures such as ventricular fibrillation detects an attack and treats it by electric shock. Although it is very effective in preventing sudden death, it was not possible to expect structurally high accuracy due to the restriction of installing a seizure detector on the human body. However, in the event of a malfunction, not only the patient's physical distress but also the mental distress caused by the premonition of the malfunction was enormous. In the present invention, focusing on the fact that the automatic analysis and diagnosis device 6 of the monitoring center 4 has high accuracy, an electric defibrillator (not shown) is connected to the socket 1 and the defibrillation is performed via the mobile phone 3. The first priority is to remotely control the start-up instruction of the device by the transmission instruction transmitted from the monitoring center 4, and even after a certain period of time within a range that does not affect the life of the patient, the transmission instruction of activation / non-activation is still given. The defibrillator is automatically activated only when there is no failure, that is, when remote operation is interrupted due to some failure. Since the detection accuracy of the automatic analysis / diagnosis device 6 of the monitoring center is high, the probability of malfunction can be reduced, and if the first electric shock has no effect, the second and third electric shocks are automatically repeated. By doing so, the reliability of the defibrillator can be further enhanced.
【0014】特に監視センターに医師を常駐せしめ得る
場合は、自動解析診断装置6に除細動器操作ボタン11
を設けて医師による遠隔操作を可能にするよう配備する
とよい。すなわち、医師が緊急事態を確認すると共に電
撃施療後の心電図波形を観察し処置することによって、
信頼性を一層高め得る。このようにして、除細動器の起
動指示精度の向上による誤動作頻度の減少と共に電撃効
果の確認が容易となるので、除細動器の信頼性が増し、
患者の肉体的精神的苦痛を大幅に除くことができる。In particular, when a doctor can be stationed at the monitoring center, the defibrillator operation button 11
May be provided to allow remote operation by a physician. That is, the doctor confirms the emergency situation and observes and treats the electrocardiogram waveform after the electric shock treatment,
Reliability can be further improved. In this way, it is easy to confirm the electric shock effect together with the reduction in the frequency of malfunction due to the improvement in the accuracy of the start instruction of the defibrillator, so that the reliability of the defibrillator increases,
The physical and mental distress of the patient can be largely eliminated.
【0015】[0015]
【発明の効果】本発明は、以上説明したように構成され
ているので、以下に記載されるような効果を奏する。Since the present invention is configured as described above, it has the following effects.
【0016】請求項1に記載の発明によれば、患者の日
常の心電図情報が携帯電話を介して監視センター内の自
動解析診断装置により高精度で即時に解析されて電子カ
ルテに記録されると共に緊急時には自動的に緊急手配が
行われるから、常時の診断監視がより容易確実となるの
みならず、心電図情報採取から診断までの時間遅れがな
いので緊急時に迅速に対応できる。According to the first aspect of the present invention, the daily electrocardiogram information of the patient is immediately analyzed with high accuracy by the automatic analysis and diagnosis device in the monitoring center via the mobile phone, and is recorded in the electronic medical record. Emergency arrangements are automatically made in an emergency, so that not only the diagnosis and monitoring at all times can be made easier and more reliable, but also there is no time delay from the collection of the electrocardiogram information to the diagnosis, so that an emergency can be promptly dealt with.
【0017】また、請求項2に記載の発明によれば、監
視センターに常駐する医師が同時に患者の異常を確認で
きるから、診断の信頼性が一層向上する。Further, according to the second aspect of the present invention, a doctor who is stationed at the monitoring center can simultaneously confirm the abnormality of the patient, so that the reliability of diagnosis is further improved.
【0018】また、請求項3に記載の発明によれば、緊
急処置を必要とする場合に患者の現在位置と最短距離の
病院を選択し、病院への連絡および救急車の手配が自動
的に行われるので、発作後の緊急処置の遅れを最小に止
めることができる。According to the third aspect of the present invention, when emergency treatment is required, the current position of the patient and the shortest distance hospital are selected, and contact with the hospital and arrangement of an ambulance are automatically performed. The delay in emergency treatment after a seizure can be minimized.
【0019】また、請求項4に記載の発明によれば、電
気式除細動器の誤動作を減らすのみならず、第1回の電
撃で効果がない場合は自動解析診断装置の自動的指示も
しくは医師の遠隔操作で第2第3の電撃を繰り返すこと
により除細動器の信頼性を高め得るので、患者の肉体的
精神的苦痛を大幅に除くことができる。According to the fourth aspect of the present invention, not only the malfunction of the electric defibrillator is reduced, but also if the first electric shock has no effect, the automatic analysis / diagnosis device automatically issues an instruction or Since the reliability of the defibrillator can be improved by repeating the second and third electric shocks by the remote control of the doctor, the physical and mental distress of the patient can be largely eliminated.
【図1】本発明の実施形態例を示す図である。FIG. 1 is a diagram showing an embodiment of the present invention.
1 ソケット 2 コネクター 3 携帯電話 4 監視センター 5 通信装置 6 自動解析診断装置 7 電子カルテ 8 表示パネル 9 警報器 10 救急車 11 除細動器操作ボタン Reference Signs List 1 socket 2 connector 3 mobile phone 4 monitoring center 5 communication device 6 automatic analysis and diagnosis device 7 electronic medical record 8 display panel 9 alarm 10 ambulance 11 defibrillator operation button
───────────────────────────────────────────────────── フロントページの続き (51)Int.Cl.7 識別記号 FI テーマコート゛(参考) G06F 17/60 126 G08B 25/04 K 506 25/08 E G08B 25/04 25/10 D 25/08 A61B 5/04 310H 25/10 310M ──────────────────────────────────────────────────続 き Continued on the front page (51) Int.Cl. 7 Identification code FI Theme coat ゛ (Reference) G06F 17/60 126 G08B 25/04 K 506 25/08 E G08B 25/04 25/10 D 25/08 A61B 5/04 310H 25/10 310M
Claims (4)
予め契約した監視センターに電送するシステムであっ
て、コンピューターで心電図情報を自動解析する自動解
析診断装置を監視センターに多数設け、電送された心電
図情報を該自動解析診断装置の一つに配信すると共に、
心電図情報と自動解析診断装置の自動診断結果とを該患
者の電子カルテに自動的に記録させ、かつ診断結果が緊
急処置の必要性を示した場合には自動的に緊急手配が行
われることを特徴とする、携帯電話を利用する心臓病の
診断・緊急処置システム。1. A system in which a patient transmits electrocardiogram information to a pre-contracted monitoring center using a mobile phone. A large number of automatic analysis / diagnosis devices for automatically analyzing electrocardiogram information by a computer are provided in the monitoring center. And delivered the electrocardiogram information to one of the automatic analysis and diagnosis devices,
The ECG information and the automatic diagnosis result of the automatic analysis / diagnosis device are automatically recorded in the patient's electronic medical record, and when the diagnosis result indicates the necessity of emergency treatment, the emergency arrangement is automatically performed. Characterized by a mobile phone-based diagnostic and emergency treatment system for heart disease.
断結果とを表示する機能と異常時に警報を発する機能と
を備えて、警報が発令された場合に該心電図情報と自動
診断結果とを監視センターの医師が確認できるように配
備したことを特徴とする、請求項1に記載の携帯電話を
利用する心臓病の診断・緊急処置システム。2. An automatic analysis / diagnosis device has a function of displaying electrocardiogram information and an automatic diagnosis result and a function of issuing an alarm when an abnormality occurs, and monitors the electrocardiogram information and the automatic diagnosis result when an alarm is issued. 2. The system for diagnosing and urgently treating a heart disease using a mobile phone according to claim 1, wherein the system is arranged so that a doctor at the center can confirm it.
て、患者が心電図情報を電送した際に患者の現在位置も
自動的に電送され、自動解析診断装置の自動診断結果が
緊急処置の必要性を示した場合は、予め登録された病院
群の中から患者の現在位置と最短距離でかつ利用可能な
病院を自動的に選択すると同時に、該病院に電子カルテ
の内容を電送することと患者を緊急輸送する救急車を手
配することとを自動的に行うことを特徴とする、請求項
1に記載の携帯電話を利用する心臓病の診断・緊急処置
システム。3. A mobile phone is provided with a current position transmission function so that when a patient transmits electrocardiogram information, the current position of the patient is also transmitted automatically, and the result of the automatic diagnosis of the automatic analysis / diagnosis device needs urgent treatment. In the case of showing the patient's gender, automatically selecting the available hospital at the shortest distance from the patient's current position from the pre-registered hospital group, and simultaneously transmitting the contents of the electronic medical record to the hospital, Automatically arranging an ambulance for emergency transportation of the heart disease using the mobile phone according to claim 1.
器を携帯電話の接続端子と電気的に接続して、該除細動
器の起動・不起動を監視センターの自動解析診断装置の
自動的指示もしくは監視する医師の判断による電送指示
で遠隔操作することを第一優先とし、一定時間経過して
もなお起動・不起動の電送指示が無い場合にのみ除細動
器が自動的に起動するように配設したことを特徴とす
る、請求項1に記載の携帯電話を利用する心臓病の診断
・緊急処置システム。4. An automatic analysis / diagnosis device of a monitoring center for electrically connecting an electric defibrillator always attached to a patient to a connection terminal of a mobile phone and for activating / deactivating the defibrillator. Priority is given to remote control by automatic instruction of the automatic transmission or the electronic transmission instruction by the monitoring physician's judgment, and the defibrillator is automatically activated only if there is no activation / non-activation instruction even after a certain period of time 2. The system for diagnosing and urgently treating a heart disease using a mobile phone according to claim 1, wherein the system is arranged so as to start up.
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JP2001057468A JP2002219109A (en) | 2001-01-25 | 2001-01-25 | Diagnostic and emergency medical care system for heart diseases utilizing cellular phone |
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JP2001057468A JP2002219109A (en) | 2001-01-25 | 2001-01-25 | Diagnostic and emergency medical care system for heart diseases utilizing cellular phone |
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