TWI457110B - A portable and ambulance 12-lead ecg information system - Google Patents

Description

一種可攜式及救護車用之12-導程心電圖資訊系統 12-lead ECG information system for portable and ambulance

本發明係關於一種可攜式及救護車用之12-導程心電圖資訊系統。 The present invention relates to a 12-lead electrocardiogram information system for portable and ambulances.

美國心臟學會公開建議，救護車上應配置12-導程心電圖儀。目前臨床救護車上多抵配置肢導程測量(1~3個導程)的心電圖儀，其無法對患有急性冠心症病患作出有效的診斷。根據國軍桃園總醫院的研究結果發現，大約有40%發生心肌梗塞的病人死亡原因是由於病人在送達醫院後，還來不及完成檢查的程序，病人即猝死。故病人在尚未被送達醫院的途中，在救護車上先幫病人做心電圖檢查，並且在抵達醫院前就把心電圖測量結果先行傳送到醫院，對於臨床心臟急診來說是十分重要的。 The American Heart Association has publicly recommended that a 12-lead electrocardiograph should be placed on the ambulance. At present, the clinical ambulance is more than an electrocardiograph equipped with limb lead measurement (1~3 lead), which can not effectively diagnose patients with acute coronary heart disease. According to the results of the National Army Taoyuan General Hospital, about 40% of patients with myocardial infarction died because the patient was not able to complete the examination after delivery to the hospital, and the patient died suddenly. Therefore, on the way to the hospital, the patient will first perform an electrocardiogram examination on the ambulance and send the ECG measurement results to the hospital before arriving at the hospital. This is very important for clinical cardiac emergency.

專利公告號M340035、專利公告號I300201、專利公告號485327、專利公告號453061、專利公告號M329933、專利公告號M328045、專利公開號200803791、專利公開號200705301、專利公開號200504342專利公開號200629790、專利公開號200808264，上述專利均提到遠距醫療之必要性與，各種實現方法，諸如利用行動通訊網路(如WIMAX、3G)，或自製的通訊模組來傳遞儀器檢測結果，或是在遠端架設視訊等系統，還有利用手機或其它嵌入式裝制來達成遠距醫療之目的，但是都有一共通點就是上述系統或設備均為全部或部份自製的客製化產品，客製化產品有其優點為產品之功能和諸如外觀配制等等，都是發明者最理想的，但是相對的其缺點就是成本昂貴，生產較麻煩，使得實行不易，普及度可能不理想，而造成實用性、泛用性大為下降。 Patent Publication No. M340035, Patent Publication No. I300201, Patent Publication No. 485327, Patent Publication No. 453061, Patent Publication No. M329933, Patent Publication No. M328045, Patent Publication No. 200803791, Patent Publication No. 200705301, Patent Publication No. 200504342 Patent Publication No. 200629790, Patent Publication No. 200608264, the above patents all mention the necessity of telemedicine and various implementation methods, such as using mobile communication networks (such as WIMAX, 3G), or self-made communication modules to transmit instrumentation results, or at the far end. The installation of video and other systems, as well as the use of mobile phones or other embedded devices to achieve telemedicine purposes, but have a common point is that the above systems or equipment are all or part of homemade customized products, customized products It has the advantages that the functions of the product and the preparation of the appearance, etc., are the most ideal for the inventor, but the relative disadvantages are that the cost is high, the production is troublesome, the implementation is not easy, the popularity may not be ideal, and the utility is The generality is greatly reduced.

早期在1998年左右的研究為了實作救護車上的遠距心電圖資訊傳輸，在救護車上除了搭載原有客製化的心電圖儀以外，加上了一台筆記型電腦和一支GSM行動電話，且筆記型電腦上還安裝了一張PCMCIA卡用於筆記型電腦與行動電話間的資料傳輸，其實作方法是當救護車上的病人做完心電圖檢查後，先把心電圖的電子檔由心電圖儀傳送到筆記型電腦，再由筆記型電傳回醫院，而GSM行動電話的功能則是類似數據機的功能，作為筆記型電腦和GSM網路之間的溝通。 In the early days of 1998, in order to realize the transmission of telecardiogram information on the ambulance, in addition to the original customized electrocardiograph on the ambulance, a notebook computer and a GSM mobile phone were added. And a PCMCIA card is installed on the notebook computer for data transmission between the notebook computer and the mobile phone. In fact, when the patient on the ambulance completes the ECG examination, the electronic file of the electrocardiogram is firstly taken from the electrocardiogram. The instrument is transmitted to the notebook computer and then transmitted back to the hospital by the notebook type. The function of the GSM mobile phone is similar to that of the data machine, which is used as communication between the notebook computer and the GSM network.

因為當時GSM網路速度不足，所以在2000年左右，有研究題出以“客製化”的方式自製整個傳輸模組，從心電圖儀、訊號發射模組到基地台全部都是客製化的產品，如此一來即可改善網路速度的問題。 Because the speed of the GSM network was insufficient at that time, in 2000, there were research questions to make the entire transmission module in a "customized" way. From the electrocardiograph, the signal transmission module to the base station, all were customized. Products, as a result, can improve the speed of the network.

但由於完全客製化的系統雖然使用依需求自行開發的心電圖系統和通訊傳輸系統，但是完全客製化必需花費金費過於昂貴，且救護車上的傳輸系統也只能在架有自行開發架設的基地台範圍內才可使用，若救護車移動範圍超出基地台範圍，則此系統等於失效，不符合現實一般狀況下使用，再加上一般醫院的醫療設備儀器均採用市面大廠所生產製造之儀器，為考量醫療安全，自行客製化生產之設備不太可能會加以採用。 However, since the fully customized system uses the ECG system and communication transmission system developed according to the requirements, the full cost of the customization is too expensive, and the transmission system on the ambulance can only be self-developed. The base station can only be used within the scope of the base station. If the range of the ambulance moves beyond the range of the base station, the system is equal to the failure, and it is not in accordance with the actual situation. In addition, the medical equipment of the general hospital is manufactured by the market manufacturer. The instrument is not likely to be used for the purpose of considering medical safety and self-customized production.

目前臨床救護車上多抵配置肢導程測量(1~3個導程)的心電圖儀，其無法對患有急性冠心症病患作出有效的診斷。發明的主要目的是：將臨床傳統使用的12-導程紙張輸出之心電圖儀進行訊號擷取，並利用行動電話無線網路傳送至醫院，完成救護車到達醫院前的12-導程心 電圖的診斷。實作方法：在救護車上配備一台12-導程心電圖儀，把此12-導程心電圖儀連接上一台無線AP，透過無線AP以無線區域網路把心電圖的電子檔傳送到行動電話上，再由行動電話無線網路把心電圖傳回醫院伺服器。結果：透過此方法能順利的在救護車上把心電圖檔由遠端傳送回醫院，心臟科醫生能在第一時間病人尚未送達醫院前即對病換進行診斷。結論：(1)利用傳統醫院使用之12-導程心電圖儀，將其改造成可攜性之設備，突破以往只限於醫院使用之目的。(2)傳輸之檔案可儲存於現有醫院之資料庫，與一般12-導程心電圖格式一樣，方便病歷查詢。(3)利用手機自動接收傳送過程，減少救護人員心電圖傳送操作步驟，只需專注於測量。 At present, the clinical ambulance is more than an electrocardiograph equipped with limb lead measurement (1~3 lead), which can not effectively diagnose patients with acute coronary heart disease. The main purpose of the invention is to extract the signal from the clinically used 12-lead paper output electrocardiograph and transmit it to the hospital using the mobile phone wireless network to complete the 12-lead heart before the ambulance arrives at the hospital. Diagnosis of the electrogram. Implementation method: equipped with a 12-lead electrocardiograph on the ambulance, connect the 12-lead electrocardiograph to a wireless AP, and transmit the electronic file of the ECG to the mobile phone through the wireless AP via the wireless AP. Then, the ECG is transmitted back to the hospital server by the mobile phone wireless network. Results: Through this method, the ECG file can be smoothly transmitted back to the hospital on the ambulance. The cardiologist can diagnose the disease before the patient is delivered to the hospital in the first time. Conclusion: (1) Using the 12-lead electrocardiograph used in traditional hospitals, it was transformed into a portable device, breaking through the previous use of hospitals. (2) The file transferred can be stored in the database of the existing hospital. It is the same as the general 12-lead ECG format, which is convenient for medical records. (3) Using the mobile phone to automatically receive the transmission process, reducing the ambulance personnel's ECG transmission operation steps, only need to focus on the measurement.

本發明之目的為可直接利用現行台灣臨床上最常使用的12-導程心電圖機，如飛利浦等大廠牌所出品之心電圖機原有輸出數位檔案之功能，透過行動電話無線上網(如3G、WIMAX等技術)，將心電圖數位檔案(XML-ECG、SCP-ECG)，傳回醫院的資料庫。 The purpose of the invention is to directly utilize the 12-lead electrocardiograph machine which is most commonly used in clinical practice in Taiwan, such as the function of the original output digital file of the electrocardiograph machine produced by the big brand such as Philips, and wirelessly access the Internet through a mobile phone (such as 3G). , WIMAX and other technologies), the ECG digital file (XML-ECG, SCP-ECG) is transmitted back to the hospital database.

本發明設計在救護車上的系統與先前研究最大的不同有四點突破： The system designed in the ambulance has four breakthroughs in the biggest difference from the previous research:

第一點：完全使用臨床上現有的12-導程心電圖設備來完成此系統，而不使用自行製造客製化的設備。不使用自行製造客製化的設備的優點除了可以節省大量的成本以外，更重要的是自行製造客製化的設備很難被醫院採用，設備規格、檔案格式等等不能配合現有設備，在整合上是一大問題。 First point: Complete the use of clinically existing 12-lead ECG equipment to complete the system without using custom-made equipment. The advantages of not using self-made customized equipment can save a lot of cost, and more importantly, it is difficult to be used by hospitals to manufacture customized equipment. Equipment specifications, file formats, etc. cannot be matched with existing equipment. It is a big problem.

第二點：使用機型與醫院內完全相同的12-導程心電圖儀。傳統在救護車上使用的心電圖儀都為單導程的心電圖儀，在救護車上先做了心電圖檢查傳回醫院，雖然可以做簡單的判斷，但是在病人送達醫院後，仍然需要再做一次12-導程心電圖檢查，等於白白浪費了在救護車上一大段的時間，在救護車上使用12-導程心電圖儀，可以完全的 利用病人在救護車上這段時間，送達醫院後可以馬上做後序處理，不用多花一次時間再做一次檢查。機型與醫院內完全相同的12-導程心電圖儀還有另一項優點，因為使用了與醫院內一樣的心電圖儀，傳回的心電圖電子檔的格式是與院內使所使用的完全相同，可直接與醫院原本的PACS系統整合，完全不需要另外的資料庫伺服器，如此一來在未來檔案管理以及病歷查詢時才能夠直接參考。 The second point: use the same 12-lead electrocardiograph with the same model as in the hospital. The electrocardiographs traditionally used in ambulances are single-lead electrocardiographs. Electrocardiograms are first sent back to the hospital on the ambulance. Although simple judgments can be made, after the patients are delivered to the hospital, they still need to do it again. 12-lead ECG examination is equivalent to wasting a large period of time on the ambulance. Using a 12-lead electrocardiograph on the ambulance can be complete. When the patient is on the ambulance, it can be processed immediately after being delivered to the hospital. It is not necessary to spend another time to do another check. The 12-lead electrocardiograph with the same model as the hospital has another advantage. Because the same electrocardiograph is used in the hospital, the format of the returned ECG electronic file is exactly the same as that used in the hospital. It can be directly integrated with the hospital's original PACS system, and no additional database server is needed at all, so that it can be directly referenced in future file management and medical record inquiry.

第三點：不改變救護車上急救人員原有的操作流程，以及簡化救護車上的裝置。在裝置方面，本發明僅使用一支行動電話來負責整個心電圖電子檔的接收與傳送，省去了在救護車上放置一台筆記型電腦，且本發明的程式是完全自動的，救護車上急救人員只要依照原來的操作流程，幫病人測量完心電圖後，在按下心電圖儀上的傳送，本發明的行動電話會自動接收檔案，並且傳送回醫院的伺服器，救護車上急救人員完全不須要操作額外的設備。 The third point: does not change the original operation procedures of emergency personnel on the ambulance, and simplify the devices on the ambulance. In terms of devices, the present invention uses only one mobile phone to be responsible for receiving and transmitting the entire ECG electronic file, eliminating the need to place a notebook computer on the ambulance, and the program of the present invention is completely automatic, on the ambulance. The emergency personnel only need to follow the original operation procedure to help the patient measure the ECG. After pressing the ECG, the mobile phone of the present invention automatically receives the file and transmits it back to the hospital server. The emergency personnel on the ambulance are not at all. Additional equipment is required.

第四點：可攜性與移動性，傳統12-導程心電圖機因為受限於只能輸出紙本心電圖，或是利用醫院內的網路傳輸心電圖電子檔，所以使用範圍被侷限於只能在醫院內部使用。而利用了本發明的發明之後，可以大大改善這個情況，只要使用原本的機具，完全不需要另外的設備，使用純軟體的解決方案，即可使原本只能在醫院內部使用的的12-導程心電圖機運用在遠距醫學如救護車，或偏遠的區義診上，平時可用於院內一般日常檢測，當有緊急救護需求時，即可馬上支援救護車用於緊急救援。 The fourth point: portability and mobility, the traditional 12-lead ECG machine is limited to only output paper ECG, or use the hospital's network to transmit ECG electronic files, so the scope of use is limited to only Used inside the hospital. After utilizing the invention of the present invention, this situation can be greatly improved. As long as the original machine is used, no additional equipment is needed, and a pure software solution can be used to make the 12-guide that can only be used inside the hospital. The ECG machine is used in telemedicine such as ambulances or remote district clinics. It can be used for routine routine testing in the hospital. When there is emergency ambulance demand, the ambulance can be immediately supported for emergency rescue.

一、操作流程： First, the operation process:

本發明10如圖一所示，首先本發明會讓救護車上的緊急救護人員11，配帶安裝有本發明心電圖接收及傳送功能程式的行動電話12，此行動電話只要正確安裝本發明所開發的程式即可，緊急救護人員不需要有任何的操作。 The present invention 10 is shown in Fig. 1. First, the present invention allows an emergency ambulance person 11 on an ambulance to be equipped with a mobile phone 12 equipped with an electrocardiogram receiving and transmitting function program of the present invention, which is developed as long as the invention is properly installed. The program can be used, and the emergency ambulance personnel do not need to have any operations.

緊急救護人員先以一般方式操作12-導程心電圖機13為病人14量測12-導程心電圖，完成量測後，使用12-導程心電圖機上原有的傳送功能進行心電圖電子檔之傳送。其與一般傳統心電圖機輸出使用有線網路不同的方式，係透過一個無線網路AP裝置15如(WI-FI、藍芽等)，來傳送心電圖電子檔至行動電話，行動電話完成接收心電圖電子檔後，再透過行動網路(如3G、WIMAX或LTE等等)把心電圖電子檔傳回醫院的伺服器16後可以與醫院PACS結合，除了可讓醫院內的醫師17直接在PACS上瀏覽心電圖畫面，心電圖電子檔從救護車上傳送至醫院伺服器時，伺服器會自動觸發傳送E-MAIL，可給予不在院內的醫師直接使用行動電話觀看， The emergency ambulance personnel first operate the 12-lead ECG machine 13 in a general manner to measure the 12-lead ECG for the patient 14. After the measurement is completed, the original transmission function on the 12-lead ECG machine is used to transmit the ECG electronic file. It is different from the traditional traditional electrocardiograph output using a wired network. It transmits the ECG electronic file to the mobile phone through a wireless network AP device 15 such as (WI-FI, Bluetooth, etc.), and the mobile phone completes the reception of the electrocardiogram electronic After the file, the ECG electronic file can be transmitted back to the hospital's server 16 through the mobile network (such as 3G, WIMAX or LTE, etc.) and can be combined with the hospital PACS, in addition to allowing the hospital's physician 17 to view the ECG directly on the PACS. Screen, when the ECG electronic file is transmitted from the ambulance to the hospital server, the server will automatically trigger the transmission of E-MAIL, which can be directly used by doctors who are not in the hospital to watch the mobile phone.

圖二即為前述圖一之行動電話心電圖接收/傳送程式等待心電圖機傳送的待機畫面。圖三為行動電話心電圖接收/傳送程式正在接收心電圖檔的畫面，而圖四是行動電話心電圖接收/傳送程式成功接收心電圖機傳送的心電圖檔後再傳回伺服器的畫面。圖五是醫師使用醫院PACS系統瀏覽心電圖的畫面。圖六是醫師使用行動電話瀏覽心電圖的畫面。附件一為本發明實施圖。 Figure 2 is the standby screen of the mobile phone ECG receiving/transmitting program waiting for the electrocardiograph to be transmitted. Figure 3 shows the screen that the mobile phone ECG receiving/transmitting program is receiving the ECG file, and Figure 4 shows the mobile phone ECG receiving/transmitting program successfully receiving the ECG file transmitted by the ECG machine and then transmitting it back to the server. Figure 5 is a picture of a physician using a hospital PACS system to view an electrocardiogram. Figure 6 is a picture of a physician using a mobile phone to view an electrocardiogram. Annex I is an implementation diagram of the present invention.

二、程式邏輯： Second, the program logic:

圖七為行動電話程式接收12-導程心電圖機傳送心電圖電子檔的流程： Figure 7 shows the flow of the mobile phone program to receive the 12-lead ECG machine to transmit the ECG electronic file:

1.監聽：建立一個TCPLISTENER實體，開始監聽指定IP與PORT。 1. Listen: Create a TCPLISTENER entity and start listening for the specified IP and PORT.

2.判斷是否連線成功：若連線成功TCPLISTENER會傳回一個連線訊息。 2. Determine whether the connection is successful: If the connection is successful, TCPLISTENER will return a connection message.

3.接收串流資料：處理網路串流資料接收串流。 3. Receiving streaming data: processing network streaming data receiving stream.

4.把串流寫入XML檔案中存檔：建立一個新的XML檔案，把串流寫入檔案中。 4. Write the stream to the XML file for archiving: Create a new XML file and write the stream to the file.

圖八為醫院伺服器程式接收行動電話傳送心電圖電子檔的流程： Figure 8 shows the process of the hospital server program receiving the mobile phone to transmit the ECG electronic file:

1.與遠端主機建立連線：使用TCPCLIENT建立連線。 1. Establish a connection with the remote host: use TCPCLIENT to establish a connection.

2.判斷是否連線成功：若連線成功伺服器端會傳回一個連線訊息。 2. Determine whether the connection is successful: If the connection is successful, the server will return a connection message.

3.把XML檔案以串流讀出：把檔案以BINARY形式讀入BUFFER裡。 3. Read the XML file as a stream: read the file into BUFFER in BINARY format.

4.把BINARY資料串流傳送給遠端：傳送串流資料。 4. Streaming BINARY data to the remote end: transmitting streaming data.

10‧‧‧本發明 10‧‧‧The invention

11‧‧‧緊急救護人員 11‧‧‧Emergency ambulance personnel

12‧‧‧行動電話 12‧‧‧Mobile Phone

13‧‧‧12-導程心電圖機 13‧‧‧12-guided electrocardiograph

14‧‧‧病人 14‧‧‧ Patient

15‧‧‧無線網路AP裝置 15‧‧‧Wireless network AP device

16‧‧‧醫院伺服器 16‧‧‧Hospital Server

17‧‧‧醫師 17‧‧‧Physician

圖一 本發明實施圖。 Figure 1 is an embodiment of the invention.

圖二 行動電話等待心電圖機傳送的待機畫面。 Figure 2 The standby picture of the mobile phone waiting for the ECG machine to transmit.

圖三 行動電話正在接收心電圖檔的畫面。 Figure 3 The mobile phone is receiving a picture of the ECG file.

圖四 行動電話傳回伺服器的畫面。 Figure 4 The screen of the mobile phone back to the server.

圖五 醫院PACS系統瀏覽心電圖的畫面。 Figure 5 The hospital PACS system browses the ECG screen.

圖六 行動電話瀏覽心電圖的畫面。 Figure 6 Mobile phone browsing the screen of the ECG.

圖七 行動電話接收12-導程心電圖機心電圖電子檔流程。 Figure 7 Mobile phone receives the 12-lead ECG machine ECG electronic file flow.

圖八 醫院伺服器接收行動電話心電圖電子檔流程。 Figure 8 The hospital server receives the mobile phone ECG electronic file flow.

【附件簡單說明】 [A brief description of the attachment]

附件一 本發明實施圖。 Annex I Embodiment of the invention.

10‧‧‧本發明 10‧‧‧The invention

11‧‧‧緊急救護人員 11‧‧‧Emergency ambulance personnel

12‧‧‧行動電話 12‧‧‧Mobile Phone

13‧‧‧12-導程心電圖機 13‧‧‧12-guided electrocardiograph

14‧‧‧病人 14‧‧‧ Patient

15‧‧‧無線網路AP裝置 15‧‧‧Wireless network AP device

16‧‧‧醫院伺服器 16‧‧‧Hospital Server

17‧‧‧醫師 17‧‧‧Physician

Claims (10)

一種可攜式及救護車用之12-導程心電圖資訊系統，其包含：一12-導程心電圖量測設備，具有一與遠端醫療機構相同之心電儀，係用以量測病人心電圖，該心電圖電子檔格式與遠端醫療機構者同，並藉由無線網路傳輸至資料傳輸之裝置；一無線網路路由器，係提供12-導程心電圖量測設備或資料傳輸之裝置無線網路；一資料傳輸之裝置，用以接收12-導程心電圖量測設備傳送之心電圖，並再由無線通訊傳輸至心電圖伺服器；及一心電圖伺服器，置於該遠端醫療機構，係用以整合醫療影像或資料之裝置，可直接呈現所量測之病人心電圖，其中該資料傳輸之裝置接收12-導程心電圖量測設備心電圖之步驟：建立一個TCPLISTENER實體，開始監聽指定IP與PORT；判斷是否連線成功，若連線成功TCPLISTENER會傳回連線訊息；接收串流資料，處理網路串流資料：及把串流寫入XML檔案中存檔：建立一個新的XML檔案，把串流寫入檔案中。 A 12-lead electrocardiogram information system for portable and ambulance, comprising: a 12-lead electrocardiogram measuring device having an electrocardiograph identical to a remote medical institution for measuring a patient's electrocardiogram The ECG electronic file format is the same as that of the remote medical institution, and is transmitted to the data transmission device through the wireless network; a wireless network router is a device providing a 12-lead ECG measuring device or a data transmission device. a data transmission device for receiving an electrocardiogram transmitted by a 12-lead electrocardiogram measuring device, and then transmitted to the electrocardiograph server by wireless communication; and an electrocardiograph server placed in the remote medical institution The device for integrating medical images or data can directly present the measured ECG of the patient, wherein the device for transmitting the data receives the electrocardiogram of the 12-lead ECG measuring device: establishing a TCPLISTENER entity and starting to monitor the designated IP and PORT; Determine whether the connection is successful. If the connection is successful, TCPLISTENER will return the connection message; receive the streaming data, process the network stream data: and write the stream to XML. Archive in archive: Create a new XML file and write the stream to the file. 根據申請專利範圍第1項所述之系統，其中該無線網路係Wi-Fi或藍芽。 The system of claim 1, wherein the wireless network is Wi-Fi or Bluetooth. 根據申請專利範圍第1項所述之系統，其中該無線通訊係3G、3.5G、WiMAX或LTE電信系統。 The system of claim 1, wherein the wireless communication system is a 3G, 3.5G, WiMAX or LTE telecommunications system. 根據申請專利範圍第1項所述之系統，其中該12-導程心電圖量測設備係包含：一量測裝置，係用以量測病人之心電圖，並由心電圖處理之裝置進一步處理；及一心電圖處理之裝置，係處理量測結果產生電子檔。 The system of claim 1, wherein the 12-lead ECG measuring device comprises: a measuring device for measuring an electrocardiogram of the patient and further processing by the device for processing the electrocardiogram; and The device for ECG processing is to process the measurement results to produce an electronic file. 根據申請專利範圍第4項所述之系統，其中該電子檔係XML格式。 The system of claim 4, wherein the electronic file is in an XML format. 根據申請專利範圍第5項所述之系統，其中該XML格式係可為HP SCP-ECG或PHILIPS XML-ECG。 The system of claim 5, wherein the XML format is HP SCP-ECG or PHILIPS XML-ECG. 根據申請專利範圍第1項所述之系統，其中該心電圖伺服器接收資料傳輸之裝置心電圖之步驟：資料傳輸之裝置與心電圖伺服器使用TCPCLIENT建立連線；判斷是否連線成功，若連線成功PACS伺服器端會傳回一個連線訊 息；資料傳輸之裝置將XML檔案以BINARY形式讀入BUFFER裡；及資料傳輸之裝置將BINARY資料串流傳送至心電圖伺服器。 According to the system of claim 1, wherein the ECG server receives the ECG of the data transmission device: the data transmission device and the ECG server establish a connection using TCPCLIENT; determine whether the connection is successful, if the connection is successful The PACS server will send back a connection message. The data transfer device reads the XML file into the BUFFER in BINARY format; and the data transfer device streams the BINARY data to the ECG server. 根據申請專利範圍第1項所述之系統，係用於救護車、游泳池或急救設施。 The system according to item 1 of the patent application is for use in an ambulance, swimming pool or first aid facility. 根據申請專利範圍第1項所述之系統，其中該資料傳輸之裝置係可為行動電話或筆記型電腦。 The system of claim 1, wherein the data transmission device is a mobile phone or a notebook computer. 根據申請專利範圍第1項所述之系統，其中該心電圖伺服器係為PACS。 The system of claim 1, wherein the electrocardiograph server is a PACS.