System and method of controlling data transmission to and/or from medical devices

FIELD: physics, computer engineering.

SUBSTANCE: invention relates to controlling transmission of data to medical devices. A system for controlling transmission of data to and/or from medical devices, wherein medical devices are divided into separate groups of at least one medical device in each case, wherein each group of medical devices at a first level of transmitting data via a first network is directly connected in each case to a communication device located at a second data transmission level for transmitting, storing and controlling data, and means are provided to facilitate communication between said communication devices with a common central server device located at a third data transmission level, for storing, controlling and transmitting data, wherein said means represent a second network which is independent and separated from the first network and which directly connects the communication device with the common central server device located at the third data transmission level.

EFFECT: providing continuous fail-proof data transmission between medical devices without data loss during transmission.

11 cl, 3 dwg

 

The invention relates to a system and method for managing data transmission to the medical device and/or according to the restrictive parts of paragraphs 1 and 9 of the claims.

Network for data transmission in clinics and hospitals often perform available that can make available the communication with the medical device with one hand and a server or server device with the other hand. Task networks of this type is the provision of data essentially in real time. This applies both to the data obtained from the medical devices, which are often connected with patients occupying hospital bed, and which must be transferred to the Central server device for monitoring, evaluation and display of these data, and to data that should centrally be sent from the server device to a variety of medical devices. This transfer of data should be performed essentially in real-time and reliable way that is often impossible because all medical devices have access to a shared network, and resulting in frequent congestion of the network.

In addition, the overload of this type can lead to interruption of data transmission and, thus, cannot be performed trouble-free data transfer. is that often leads to the need to ensure medical devices large intermediate storage devices for storing data, which are medical devices in the current mode or received in advance, temporarily in case of failure or network congestion.

The reading of these intermediate storage device again becomes possible only when a persistent connection with a server device, for example, after reducing the network congestion.

Therefore, the aim of the present invention is to create an affordable system and method for managing data transfer to medical devices and/or that provide continuous, trouble-free transmission of data between medical devices, on the one hand, and the server device, on the other hand, without loss of data during their transmission essentially in real time and at the location of the congestion.

This goal is achieved for a system with the characteristics under item 1 and for a method with the characteristics under item 9.

A significant aspect of this invention lies in the fact that in the event of a system for managing data transfer to medical devices and/or from these medical devices are divided into separate groups with at least one medical device, in each case, each group of medical devices on the first level data are directly connected through the first network device tie is, made for transmission, storage and management of data at the second level data, and provided funds to enable the exchange of data between the communication devices at the third level data and shared Central server device, placed on the third level of data storage, management and transmission of data. This tool can serve as a second network that connects devices directly with a server device. Alternatively or additionally, the means of this type may contain external storage media, such as USB drives or memory cards that can be used for data transfer.

Using this type of system for management of data mainly is possible that due to mnogourovnego the location of individual system components involved in the data transfer, not only minimizes the network congestion data, and thus preventing overloading of the involved networks, but also provides reliable data transfer between medical devices, on the one hand, and the server device, on the other hand. This is because taking into account the connection of the individual medical devices are divided into groups, with one communication device in each of the case, which is otherwise done by enabling the exercise of data separately, i.e. independently of server devices, medical devices, which preferably are infusion pumps, and storage capabilities; direct connection between the communication device in each case, on the one hand, and medical device, on the other hand, is formed as the exclusive connection of the first network.

This gives this result is that when using the network type CAN, for example, cannot be overlapping data or data packets by time or quantitatively between medical devices and centrally located server device, as the exclusive direct line of communication between the communication device and one of the medical devices reduces and almost eliminates the time delay and data loss during transmission. As a result of this prevents not only the repetition of cycles, which are often used for successful transmission of data through the network, which, along with this should ensure the provision of medical devices, but also interrupt the update process updates software medical devices.

In addition, due to this direct line of communication between the communication device and the medical devices they shall be a place of trouble-free transfer of data from the medical device to the communication device and Vice versa. This can be referred to as data relating to the device and data relating to the patient, for patients who are connected with medical devices, such as pumps for insulin, and data relating to medicine, which should be transmitted from the server device to the medical device.

For this purpose, the Central server device contains an application server module and the storage module, and the application server module is connected with applied work modules on the fourth level data through the third network. Thus, the application units of work are posted on another level data of this communication structure, built in the form of a cascade or multiple levels, resulting in devices, units and medical devices, freely communicates with each other, are formed on different levels of the communication structures, and they can function and act relatively independently in order to continue to liaise with adjacent devices /modules/, medical devices next lowest or highest level. This reduces the sensitivity to failures of communication that can often occur, for example, when using a wireless LAN (WLAN) server, which is directly connected to copper the Ukrainian devices throughout the hospital through a network of this type.

Each communication device for this purpose is provided with at least one first storage unit and the first control unit for temporary storage of incoming data received from the medical devices group, in particular data relating to the device, and data relating to the patient, for patients who are connected with these medical devices, and transfer this data in aggregate form storage server module.

In the same way the first memory module and a first control module of each of the communication devices applicable for temporary storage of incoming data received from the storage server module, in particular data relating to medicine, and for their transmission to the selected medical devices on request or when needed. This gives you the ability to send data from communication devices to medical devices, and medical devices, communication devices, in this case, all data may be temporarily stored within each of the communication devices and, in addition, also can directly be read from the communication device or written to it without using the server device. As a result, between the group of medical devices, on the one hand, and at least one communication device, on the other hand, it is possible essentially independently researched the may first network.

In the same way the second network, built between communication devices of this type, on the one hand, and the server device, on the other hand, should be considered as a network system, independent from other networks. This may be a data transmission primarily via the second network from the server device to the individual communication devices, which is necessary, for example, to send through the server device to the individual communication devices and thus the medical device data about the drugs available in a new form, and this data may be temporarily stored within a personal communication device for subsequent transmission to the medical device if necessary and with proper working condition of the above medical devices. For example, this may occur when a medical device made in the form of a pump for insulin, does not enter the patient any drug in the form of insulin.

Additionally, the third network between the server device and applied work modules, which can be located at a distance from the server device, should be considered as separate. This independent third network can connect the application units of work with an application server via, e.g. the, the web interface and the web browser, and thereby to maintain, manage, download, and read data stored in the server device.

The data stored in the server device and is preferably stored in the storage server unit, can similarly be displayed visually, and this display device can reside on the server device and one or more applied work modules, which are at a distance from the server device.

The method according to the present invention for controlling data transfer to medical devices and/or different from them so that each group of medical devices on the first level of data transfer transfers data from the communication device, placed on the second level of data, or to him through the first network in each case, stores them in the location of the reception, or the location of the transmission and optional uses them to control the medical device or the communication device, respectively. It may be configuration data relating to the medical device, the medical data relating to the medical device, the computer program related to the medical device, and the collection and evaluation of status information relating to the medical device, and the collection and the valuation therapeutic information, related to the medical device.

The medical devices working on the first level and otherwise operating in a similar manner essentially independent from the power source and, therefore, operating in isolation, therefore, otherwise, can be controlled via communication devices via configuration files and commands, and transmit the work, status, and medical information to a communications device.

Communication device on the second level of data is performed in a similar way to providing work essentially independently from the network and, in particular, to some extent apart from the service device, from time to time they take away from the server device configuration files and commands for transmission to medical devices that are attached to the respective communication device.

Working status and medical data of all the connected medical devices likewise accepted and otherwise temporarily stored for transfer to grouped or concentrated form to the server device at the third level data.

Additionally, temporal and functional mode of the communication device is preferably operated by a Central server device on the third level of data transmission by transmitting control data this is the second type.

The server device located on the third level data, preferably centrally located within the clinic and is controlled by the applied working modules on the fourth level data. The management of this type may cause configuration data and commands related to the device, which must be passed to the selected communication devices of the second level data. Working status and medical data of all the connected communication devices of the second level data in this way is temporarily stored inside this third level data, i.e. inside the specified server.

Application units of work that are housed on the fourth level data, generate configuration files and commands automatically or with the assistance of the staff of the clinic. Additionally, they perform a selection of communication devices that must be activated, and determine the functional and timing of communication devices, making available data or information required for this in the server device in accordance with the third level of data.

Application units of work can also the proper way to evaluate, to concentrate and to illustrate working, status and medical data, which are temporarily stored in the server device./p>

The application server module functions, controlled and regulated in relation to the reading and writing of data by application of the working modules.

In the case of the method according to the present invention, data received at least one first storage unit by the first control module and transmitted by the medical devices group, in particular data relating to the device, and data related to the patient, for patients who are connected with medical devices, temporarily stored and grouped in each communication device, and transmitted to the storage server device.

These data, in particular data related to medicine, similarly received and temporarily stored by the storage server module or application server module using the first storage module and the first control module to send the selected medical devices on request or when needed. For example, this may occur when the medical device is in working condition, suitable for data refresh. Then, the communication unit independently performs the transfer and update data in the medical device. For this purpose the data of all medical devices continuously schiavetta of communication devices vremenno stored inside a specified communications device.

As soon as the temporarily stored data, to which also belong to the data of the working status of the medical devices indicate the presence of a suitable operating mode of the medical device through the communication device updates the data Bank of medical devices. This should not be in working condition, for which you are the current treatment by a medical device.

The availability of new data and new configurations, preferably should visually be specified in the medical device.

The first network is preferably a network CAN, and the second and third type of networks WLAN and/or LAN.

Additional preferred options for implementation set out in the dependent claims.

The advantages and the relevant characteristics are evident from the further description in conjunction with the drawings.

Fig.1 is a schematic illustration of a system according to the present invention is built in several levels,

Fig.2A and 2b show a possible application of multilevel system and method according to the present invention in the form of a block diagram for one possible implementation.

Schematic illustration of the basic construction of the system according to the present invention for performing the method according to the present invention for controlling eradica data of the medical device shown in Fig.1.

This system provides control and configuration of medical device failures and data without overloading associated networks, as well as the collection and visualization of subsequent data sent to medical devices and centrally collected for the purposes of assessing and tracking.

Together there are four levels of data 1-4, medical devices 5, such as pumps for insulin, which are divided into different groups 5A on the first level 1 data.

One group 5A of the medical device in each case assigned to the device 6 communication with the first storage module 6A and the first control unit 6b. This is done through an exclusive network-based technology CAN, in accordance with the reference position 7. Thus, between the communication device and each medical device assigned to it, there is an exclusive CAN connection.

The communication device 6 is in turn connected to a centrally located server device 8 via the second network 9, which makes possible the separation of the server device 8 to the storage server module SS and application server module AS.

The server device 8 may in turn be connected via a third network 11 from the third level 3 data with the butt of the ies working modules 10A, 10b, 10C, housed on the fourth level 4 data and provides various annexes a, b, C.

Such a multi-level system design in accordance with the present invention for transferring data provides a reliable data transmission is not susceptible to congestion of available networks.

Implementation option with possible implementation of the method according to the present invention, for which the system according to the present invention is required, is illustrated by the flowchart in Fig.2A and 2b.

First of all, using one of the applied working modules installed new updated medical data Bank. This is done in accordance with step 21.

Then in accordance with step 22 medical data Bank save by transferring a corresponding control signal applied from the working module of the server device 8.

In accordance with step 23 all devices 6 regard, take notice of the availability of a new Bank medical data in the server device. Then, according to step 24, if necessary, the transferring banks medical data from the server to all the communication devices through a request or send data to the specified new Bank medical data. This is done through the WTO the second network after using the third network to transfer data from the application processing units storage device.

Communication devices continuously receive data from the medical devices attached to them, in the current state or status of the corresponding Bank medical data that is stored up to this point in their respective medical devices.

As soon as this check is performed in accordance with step 25, a query is made in step 26 by sending a request signal from the communication device corresponding medical devices, or by checking the current data stored in the communication device for the respective medical device, as to whether or not identical to the data of the new medical data Bank and data of the previous Bank medical data in the corresponding medical device. In the case of identity data in accordance with step 27 update Bank medical data does not occur.

If the data Bank of medical data are not in compliance, the additional step 28 is queried as to whether accepted if the medical device operating status, allowing the update data Bank, or if the specified medical device in the treatment mode in real time. If the medical device is in working condition, upgradable, then in accordance with step 29 performs the I update a data Bank of medical devices by transmitting a data Bank of medical data from the communication devices of the specified medical devices. After this is done the unit 31, whereby the medical device to the communication device sends the current operational status.

If currently working condition does not allow the update to proceed, in accordance with step 30 from the communication device to the medical device is notified of the availability of the upgrade. In response to this, in accordance with step 31 medical device sends its current operational status of the communications device, which in turn in accordance with step 32 sends it in the current working status of the server, which in accordance with step 32 saves the specified current operating status to update the Central data Bank working conditions of all medical devices.

The communication device continuously checks the operating status of the medical device (step 28) and independently performs the update as soon as it will allow the operating status of the medical device.

In accordance with the arrow 34 a second request regarding the operating status of the communication device occurs up until it has been determined that in accordance with step 28 operating condition of the medical device allows for the renewal of medical devices.

Therefore, during the transfer of the working and status information medical the disorders server device followed by two phases of data namely, the transition from the first level data to the second data link layer and the transition from the second level of data to the third level of data.

Thanks to the first network that is used exclusively by the medical device to device communication is possible the current request relative to the working status and the possibilities of what happened changes in operating status and data of the individual medical devices with a high level of transmission quality and low failure rate. These work and status data temporarily stored in the communication device and prepared to send in grouped view server device via the second network.

In this case, the communication device records what data and when sent to the server device via the second network, and may result in limitation of the data server device to the recently released and received data.

If there was failure of the second network, all the data for predetermined periods of time, temporarily stored in the communication devices, will be transferred to the server device when the second network is available again.

In accordance with another alternative implementation of the present invention, the data from the communication devices can be sent directly to any other systems without the necessary the particular use for this server devices. For this purpose, can also be adapted exchange protocols in the communication devices.

By reducing the data to be sent from each device 6 communication server device, compared with the data that has not yet been submitted previously, it is possible to avoid an overload of the second network 9. Similarly, the direct connection between each communication device 6 and each medical device 5 are eliminated data loss and time delays within the first network 7, because each medical device keeps its data and a Protocol. As a result, the storage device 6 communication in case of failure of power supply is no longer necessary.

All the features disclosed in the application materials claimed as essential for the present invention because they are novel either individually or in combination compared with the prior art.

List of links

1, 2, 3, 4 level data

5, 5A medical devices

6 the communications device

6A, the storage module

6b, the control module

7 the first network

8 Central server device

9 the second network

10A-10C application units of work

10 the third network

21-34 steps of the method

AS the application server module

SS storage module.

1. System for the management data transfer to medical devices (5) and/or from them, in which the medical device (5) is divided into individual groups (5A) at least one medical device (5) in each case,
characterized in that each group (5A) medical devices (5) at the first level (1) data through the first network (7) is directly connected in each case with a device (6) communication posted on the second level (2) data for transmission, storage and data management, and provides tools to enable exchange of data between the devices (6) due to General Central server device (8) located on the third level (3) data storage, control and data transmission, and these funds represent the second network (9), which is independent and separate from the first network and which directly connects devices (6) due to General Central server device (8) located on the third level of data (3).

2. The system under item 1, characterized in that the Central server device contains an application server module (AS) and the storage server module (SS), and the application server module (AS) connected with applied work modules (10A, 10B, 10C) on the fourth level (4) data transmission via the third network (11).

3. The system under item 1 or 2, characterized in that each device (6) St is zi contains at least one first storage module (6A) and one of the first control unit (6V) for temporary storage of data, received and accepted from medical devices (5) groups (5A), in particular data relating to the device, and data relating to the patient, for patients who are connected with medical devices (5), and are grouped in the form of a storage server module (SS).

4. The system under item 3, wherein the first storage module (6A) and a first control module (6b) of the device (6) communications made with the possibility of temporary storage of data and received from the storage server module (SS) or application server module (AS), in particular data relating to the medication, and transfer them to the selected medical devices (5) on request or when needed.

5. The system under item 3, wherein the third network (11) connects the applied working modules (10A, 10B, 10C) with the application server module (AS) through the web interface and the web browser.

6. The system under item 1, characterized in that the medical device (5) are the pumps for insulin.

7. The method of transmission control data to medical devices (5) and/or in which medical devices (5) are divided into individual groups (5A) at least one medical device (5) in each case, characterized in that
each group (5A) medical devices (5) on the first level before the data and transmits the data from the device (6) communication placed at the second level (2) data, or access it through the first network (7) in each case and manages them, and these devices (6) communication is passed through a second network (9), which is independent and separate from the first network, the data from the Central server device (8) located on the third level, or to him and manage.

8. The method according to p. 7, characterized in that the Central server device (8) is provided with the application server module (AS) and the storage server module (SS), and the application server module (AS) combined with applied work modules (10A, 10B, 10C) on the fourth level (4) data transmission via the third network (11) and operate, manage and regulate it to read and write data applied through the working modules.

9. The method according to p. 7 or 8, characterized in that the data received at least one first storage module (6A) and by the first control module (6b), and passed on medical devices (5) groups (5A), in particular data relating to the device, and data related to the patient, for the patient connected medical devices (5), temporarily stored in each device (6) communication and transfer in aggregate storage server module (SS).

10. The method according to p. 9 distinguishing the I, the first storage module (6A) and a first control module (6b) of the device (6) communications receive and temporarily store data, in particular data related to the medication from the storage server module (SS) or from the application server module (AS) to send the selected medical devices (5) on request or when needed.

11. The method according to any of paragraphs. 7-8, 10, characterized in that the first network type selected CAN, and the second and third network type selected WLAN and/or LAN.



 

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15 cl, 7 dwg

FIELD: medicine.

SUBSTANCE: invention refers to medical equipment. A catheter comprises an elongated body, a distal assembly mounted distally in relation to the body and having a shape-memory support member and a spiral or round cast comprising an irrigated ablation ring electrode. The catheter comprises the ring electrode for measuring an impedance or potentials of a pulmonary vein and a control handle mounted proximally in relation to the body. The spiral cast has such axial configuration that a central long axis of the spiral cast is axially aligned with a long axis of the body. The round cast has such configuration outside the edge that the round cast is spiralled about the long axis of the body. The support member is hollow and comprises a hollow spiral tube or tubular member spirally notched along its length. The spiral notches have an interlacing pattern.

EFFECT: using the invention enables providing more accurate contact of the catheter and tissue and precise visualisation of the electric potential of the pulmonary vein during the ablation procedure.

9 cl, 22 dwg

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely to pulmonology, and can be used for the correction of secondary mucociliary insufficiency (MCI) of the lower airway (LA) in the patients with bronchopulmonary diseases. A projection of bronchi and lungs in sub-clavian region, interscapular space and axillar region from both sides is exposed to a pulsed low-intensity infrared laser light at wave length of 0.89 mcm. A degree of mucociliary insufficiency is pre-determined. The exposure is characterised by an average-power emission of 3.75 mW at pulse repetition frequency 500 Hz. Degree 1 secondary mucociliary insufficiency of the lower airway requires 7 or 8 6-minute sessions. Degree 2 implies 7.5-minute sessions in number of 9 or 10. If observing degree 3, 11 or 12 daily sessions last for 9 minutes every day.

EFFECT: method enables increasing the clinical effectiveness in bronchopulmonary diseases by differentiating mode of the laser correction of MCI depending on a degree of manifestation that enables restoring the mucociliary transport.

5 tbl, 3 ex

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely to pulmonology, and can be used for the correction of secondary mucociliary insufficiency (MCI) of the upper airway (UA) in the patients with bronchopulmonary diseases. Mucous membranes of the nasal cavity from both sides are exposed to a low level red light laser therapy at wave length of 0.633 mcm in a continuous mode. That are preceded by diagnosing and determining degrees of the SMCI. Degree 1 secondary mucociliary insufficiency of the upper airway requires the laser light exposure at total power density (PD) 1.5 J/cm2 by 5 or 6 1-minute sessions. Degree 2 implies 1.5-minute sessions in number of 7 or 8 at total PD 2.25 J/cm2. If observing degree 3, 9 or 10 daily sessions last for 2 minutes every day at total PD 3.0 J/cm2.

EFFECT: method enables providing the higher clinical effectiveness by the differentiated use of LLLT depending on a degree of secondary MCI and restoring the mucociliary transport.

5 tbl, 4 ex

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely to ophthalmology, and can be used for diagnosing the scleral support malfunction, accompanying myopia in children and adolescents. That is ensured by stating joint hypermobility and/or platypodia and/or spinal curvature. The Kerdo index and the serum cortisol level are measured. If the patient is stated to suffer from joint hypermobility and/or platypodia and/or spinal curvature accompanied by the Kerdo index of more than 10% and the cortisol level of less than 250 nmole/l, the scleral support malfunction is diagnosed.

EFFECT: using no special expensive methods of analysis, the technique enables selecting the individual and adequate therapeutic approach in the given category of patients, particularly determining indications for the sclera-reinforcing intervention promoting the stabilisation of the myopia process.

6 ex, 1 tbl

FIELD: medicine.

SUBSTANCE: invention refers to medicine, medical diagnostics, clinical recording. A system comprises: data base of patient's management recording; and a record navigation instrument configured to select the patient's record from the data base of patient's management recording and to display at least a portion of the patient's record as a flow chart and additionally to display a portion or all patient-unspecific recommended medication as a flow chart selectively, other than the patient's management records, and comprising alternative therapeutic approaches avoided in treating the selected patient due to decisions made in the earlier points of decision making.

EFFECT: higher accuracy of patient's diseases diagnosing.

18 cl, 7 dwg

FIELD: medicine.

SUBSTANCE: method involves carrying out ultrasonic scanning examination of subclavian artery over its whole extent in physiological arm position with arterial blood pressure being measured in the middle one third of the arm. Next, when applying compression tests, blood circulation parameters variations are recorded in distal segment of the subclavian artery with arterial blood pressure being concurrently measured. Three degrees of superior thorax aperture syndrome severity are diagnosed depending on reduction of linear blood circulation velocity and arterial blood pressure compared to their initial values. Mild one takes place when linear blood circulation velocity reduction reaches 40% and arterial blood pressure 20% of initial level, moderate one when linear blood circulation velocity reduction reaches 70% and arterial blood pressure 50% and heavy one when linear blood circulation velocity reduction is greater than 70% of initial level and arterial blood pressure is greater than 50% to the extent of no blood circulation manifestation being observed in the subclavian artery.

EFFECT: high accuracy of diagnosis.

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