CN103488880A - Remote medical rehabilitation system in smart city - Google Patents
Remote medical rehabilitation system in smart city Download PDFInfo
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Abstract
The invention provides a remote medical rehabilitation system in a smart city. The remote medical rehabilitation system comprises a medical diagnosis module, a training terminal module, an exchange platform module, a signal recognition and monitoring module, a system safety and maintenance module, a network communication module, a network database module and a network information management module. On the basis of a concept of smart city and smart medical treatment, a rehabilitation training robot is combined with medical information management; aiming at the entire process from information management to rehabilitation training, functional requirements of medical rehabilitation training are met by one system.
Description
Technical field
The present invention relates to the medical rehabilitation technical field, relate in particular to a kind of in conjunction with the terminal recovery exercising robot tele-medicine rehabilitation system towards the wisdom city.
Background technology
Medical rehabilitation is the new concept occurred mid-term in 20th century, and it is one and makes up and rebuild people's afunction to eliminate and to alleviate people's dysfunction, manages to improve the medical science subject of people's each side function.The medical rehabilitation treatment has singularity.At first, rehabilitation is a long-term progressive process, and the required repeated workload of rehabilitation is very large; Secondly, the rehabilitation object is inconvenient to move; Again, be accompanied by the aging day by day of modern society, the social demand to rehabilitation is by increasing.And set up the above-mentioned requirements that the medical rehabilitation digital display circuit can meet rehabilitation well: digitized rehabilitation medical robot can meet long-term, high-intensity medical rehabilitation workload; Remote information system can allow the patient realize treating the training of even being in nearby; In time with information feedback accurately, can allow the doctor more efficiently pay close attention to easily patient's rehabilitation situation, and realize informationization and the networking of medicine prescription by digital display circuit.
IBM in 2008 have proposed the strategy of " the wisdom earth ", with reply financial crisis and the informationization, low energy consumption, the high-level efficiency demand that adapt to modern social development.Inspired by this, the structure in " wisdom city " is subject to paying close attention to more and more widely.Each big city responds one after another, proposes the wisdom physical construction planning based on Internet of Things and internet.Internet of Things is by perception means such as sensor, radio frequency identification mark (RFID), handheld terminal, monitoring cameras, the various information of perception, the urban public utilities thing is unified into to net, realize thing and thing, thing and people and interpersonal interconnected, make " immanent connection " (Pervasive Connectivity) become possibility.Wisdom perception characteristics based on Internet of Things, better business structure and public service planning is carried out by collecting and analyze data and intelligent information in the wisdom city, and monitoring, understand accident in real time better, and immediately, suitably deploy resources to be to make response.By network, long-range "one-stop services" provides more how convenient for citizen.
Wherein, according to the IBM commercial value, research institute points out, the medical treatment in wisdom city has following characteristics: interconnected, the doctor can detect patient's every terms of information after authorized by the platform of wisdom medical treatment, and the patient also can inquire about easily hospital and doctor's information and be selected; Cooperation, integrate and shared medical information and record, builds a comprehensive professional medical network; Prevention, real-time perception, processing and analysis medical practice, thus make quickly and efficiently response; Universal, seamless link township hospital and community hospital, to central hospital, change the place of examination and accept training with Real-time Obtaining expert advice, arrangement; Innovation, promote knowledge and process processing power, further promotes clinical innovation and research; Reliably, make the medical practitioner can obtain a large amount of scientific informations and evidence and support diagnosis.
At present, medical information management system has obtained development widely, refinement and application, and the related application scheme of existing rehabilitation field.Exist at present a kind of regional rehabilitation information sharing system to be connected with the network of center service applicator platform by terminating machine, realize sharing of patient medical record information and medical data, medical information is used for to the medical rehabilitation field.But this system is mainly used in each regional rehabilitation information interchange, for medical worker's exchange study, can not be directly used in the rehabilitation training of concrete sufferer, and not in conjunction with operations such as concrete diagnosis, rehabilitations.In addition, find by prior art documents, " healing treatment management system design and application " (" medical informatics magazine " the 33rd the 9th phase of volume in 2012) proposed a kind of design of healing treatment management system, this system is the information management system that is applied to hospital, but only limiting to this hospital internal uses, and, only for the information management in LAN (Local Area Network), with the rehabilitation training terminal, do not combine.
Therefore, those skilled in the art is devoted to develop the remote rehabilitation medical system in the wisdom city of a kind of general practice information management and rehabilitation training function.
Summary of the invention
In order to address the above problem, the invention provides the rehabilitation medical system in a kind of wisdom city.Angle from the wisdom medical treatment towards the wisdom city, connect each hospital, community's terminal and home terminal by network, and set medical diagnosis, monitoring in real time, training terminal, network information platform are integrated; In this rehabilitation medical system, the doctor can complete all processes of exchange of knowledge, state of an illness diagnosis, rehabilitation operation, rehabilitation situation evaluation and information management; Further, this system has also comprised lower limb exoskeleton rehabilitation training operating terminal, intelligentized rehabilitation training operation is combined with the managing medical information of networking, the security function that simultaneously there is real-time monitoring, facilitate the patient of legs and feet inconvenience to select be in or carry out daily workout in community, realize tele-medicine, rehabilitation nearby; In addition, network information center (NIC) and intercommunion platform have been realized interior the sharing of authority of information between each hospital and rehabilitation terminal device.
Characteristics based on wisdom city, wisdom medical treatment, the present invention, towards the rehabilitation demand of sufferer and medical worker's needs of medical treatment, has designed a kind of tele-medicine rehabilitation system.Tele-medicine rehabilitation system provided by the invention comprises medical diagnosis module, training terminal module, intercommunion platform module, information signal identification and monitoring modular, network communication module, security of system and maintenance module and network information center (NIC), and described network information center (NIC) comprises network data library module and network information management module; It is characterized in that, described medical diagnosis module is opened with prescription patient's state of an illness diagnosis for the doctor, by described network communication module, with described network information center (NIC), is connected; Described signal identification comes perception patient and system terminal information with monitoring modular by sensor and RFID technology, by described network communication module, with described network information center (NIC), is connected; Described intercommunion platform module, for the software platform that patient, medical worker and system and maintainer provide communication and consulting, is connected with described network information center (NIC) by described network communication module; Described training terminal module is connected with described network information center (NIC) by described network communication module; The ruuning situation of described security of system and maintenance module detecting & monitoring terminal device, be connected with described network information center (NIC) by described network communication module; Gathering and processing of information carried out in described network information center (NIC), and supports the operation requests of described medical diagnosis module, described signal identification and monitoring modular, described intercommunion platform module, described training terminal module and described security of system and maintenance module by described network communication module.
Further, described medical diagnosis module comprises knowledge of rehabilitation library inquiry module, rehabilitation condition evaluation module and prescription typing, generation and administration module; Described knowledge of rehabilitation library inquiry module is connected with described network communication module, by described network communication module inquiry, is stored in case and the data in the knowledge base information storage module, and auxiliary doctor draws solution; Described rehabilitation condition evaluation module provides rehabilitation assessment method and assessment form, in assessment patient's rehabilitation situation quantized for the doctor the Rehabilitation information storage module that stores described network information center (NIC) into; Described prescription typing, generation and administration module provide the rehabilitation training anagraph form for the doctor, carry out opening, store, revise and calling of rehabilitation training prescription, described prescription typing, generation and administration module call the existing prescription in the doctor formula information storage module that is stored in described network information center (NIC) by described network communication module, and by described network communication module, new recipe are stored into to described doctor formula information storage module to complete the typing of prescription.
Further, described signal identification comprises identification module, the real-time detection module of device signal and the real-time detection module of patient's signal with monitoring modular; Described identification module is used RFID technology identification patient identity, and compares by described network communication module and the information be stored in patient's personal information storage module, obtains operating right; The real-time detection module of described device signal, by the information of sensor and the real-time equipment operation of checkout equipment, is connected with the remote monitoring module of described network information center (NIC) by described network communication module; The real-time detection module of described patient's signal obtains the physiologic information in patient's training process in real time by sensor, by described network communication module, with the remote monitoring module of described network information center (NIC), is connected.
Further, described intercommunion platform module is used to patient, medical worker and system and maintainer that the software platform of communication and consulting is provided, and in each terminal of system, uses; Described intercommunion platform module comprises that equipment is used feedback module, patient's consulting and feedback module, long-range consultation of doctors module and doctor's interchange and the consultation module of combining; Wherein, described equipment is used feedback module for the user of system equipment and the communication between the design maintenance personnel, and the equipment on different terminals is used feedback module to interconnect by network communication module especially voice and video communication module; Patient consulting and feedback module between patient and doctor about consulting and the feedback of rehabilitation situation, patient's consulting and feedback module on different terminals interconnect by network communication module especially voice and video communication module; The long-range consultation of doctors module of combining is for the online consultation of doctors between many section office of many hospitals, and the long-range consultation of doctors module of combining on different terminals interconnects by network communication module especially voice and video communication module; The doctor exchanges and consultation module is seeked advice from for the exchange of technology between the medical worker and expert advice, and the doctor on different terminals exchanges with consultation module and interconnects by network communication module especially voice and video communication module.
Further, described training terminal module comprises rehabilitation institution's module, human-computer interaction module and motion-control module; The mechanical part that described rehabilitation institution module is rehabilitation training terminal robot device, in rehabilitation training, terminal device drives described rehabilitation institution module by described motion-control module, completes the needed motion component of rehabilitation training; Described human-computer interaction module is everybody body signals collecting of training terminal machine, synkinesia module, and in the specific function of rehabilitation training, described human-computer interaction module provides parameter for motion-control module, generates required movement locus and the mechanical response of rehabilitation training; Described motion-control module is combined with described human-computer interaction module, in rehabilitation training, described rehabilitation institution module is carried out to kinematics and dynamics control.
Further, described security of system and maintenance module comprise equipment emergent stopping module, SOS module and multiple terminal system selftest module; Summary responses when described equipment emergent stopping module, when the system judgement, accident occurs, end ongoing operation, and the emergent stopping instruction from the emergency condition processing module of described network information center (NIC) by described network communication module responds; Described SOS module is sought help for long-range emergency when accident occurs, and starts the emergency condition processing module of described network information center (NIC) by described network communication module; Described multiple terminal system selftest module is for the Condition Detection of terminal device, and by testing result by described network communication module stores in the equipment essential information memory module of described network information center (NIC).
Further, described network data library module comprises patient's personal information storage module, Rehabilitation information storage module, doctor formula information storage module, knowledge base information storage module and equipment essential information memory module; Described patient's personal information storage module is for store patient personal information and medical history; Rehabilitation training operation, inspection and rehabilitation condition evaluation information that described Rehabilitation information storage module carried out in system for store patient; Described doctor formula information storage module is for storing the exercise prescription that the doctor opens on each diagnosis terminal; Described knowledge base information storage module upgrades for medicine case, treatment case, professional reference information the maintenance of storing rehabilitation training; Described equipment essential information memory module is stored the relevant informations such as self-detection result, monitor message, operation note, fault and maintenance record of each terminal device.
Further, described network information management module comprises information inquiry module, information management module, emergency condition processing module and remote monitoring module; Described information inquiry module receiving terminal operation requests, access described network data library module, the retrieval of carrying out information with screening return data, respond described terminal operation; Described information management module receives described information and received information is analyzed, managed and stores, and described network data library module is operated; The emergency occurred when described emergency condition processing module summary responses are used, carry out processing scheme; Described remote monitoring module receives the real time detection signal of the real-time detection module of each terminal device signal and the real-time detection module of patient's signal, and carries out described remote monitoring and warning function.
Further, described network communication module, for the every medical information of Internet Transmission, can be divided into broadband/WIFI communication module, mobile network's communication module, SMS communication module and voice and video communication module according to different approaches; Described broadband/WIFI communication module carries out combined network communication between situation of all-level hospitals, rehabilitation community, home terminal and network information center (NIC) by internet and LAN (Local Area Network), described mobile network's communication module is by carrying out mobile communication as GPRS and 3G wireless network mobile communication technology, described SMS communication module carries out the customized messages service by the short message service of mobile phone, and described voice and video communication module carries out online exchange, consulting and remote medical consultation with specialists operation by voice and video communication.
Compare with existing information-based medical skill, the present invention is based on the theory of wisdom city, wisdom medical treatment, for the whole process from the information management to the rehabilitation training, proposed a more complete system schema:
There is intelligentized training terminal module, recovery exercising robot terminal and managing medical information are combined, met the functional requirement of medical rehabilitation training by a system.
Increased sensing and the monitoring of sensing layer, obtained in real time the operation information of each terminal, can system and patient's emergency condition have been responded in time, guaranteed the security of system simultaneously.
By database and the supervisory routine of heterogeneous networks communication channel interconnection network information center, integrate and shared medical information and record, construct a comprehensive professional medical rehabilitation-network.
Increased the medical rehabilitation knowledge base, made that the doctor can search for, medical science case and the data in a large amount of these fields of analytical applications carry out auxiliary diagnosis, helps the doctor to improve therapeutic scheme and the study of self lifting.
Increased the intercommunion platform module, support the information interchange of related personnel between each hospital and rehabilitation community, can the Real-time Obtaining expert advice, arrange exercise equipment, can carry out the group medicine consultation of doctors between long-range Different hospital different department for intractable case simultaneously; The exchange module of patient with the doctor is provided, contributed to follow up in time patient's rehabilitation situation of doctor, and provide intercommunion platform for patient's consulting; This external system user and system maintainer's information interchange passage can maintain easily personnel and in time system be carried out the repair and maintenance of relevant issues, user's feedack can for system further improve the provider to suggestion.
The accompanying drawing explanation
Fig. 1 is the functional structure schematic block diagram of a preferred embodiment of the present invention.
Fig. 2 is the network structure schematic block diagram of a preferred embodiment of the present invention.
Fig. 3 is a terminal embodiment schematic block diagram of a preferred embodiment of the present invention
Embodiment
Technical scheme below in conjunction with accompanying drawing to preferred embodiment of the present invention is further described.
As shown in Figure 1, tele-medicine rehabilitation system of the present invention comprises medical diagnosis module, signal identification and monitoring modular, intercommunion platform module, training terminal module, security of system and maintenance module, network communication module, network data library module and network information management module.Wherein, medical diagnosis module, signal identification and monitoring modular, intercommunion platform module, training terminal module, security of system and maintenance module are the functional modules of system terminal, the network communication module is for carrying out the correlation module of network savvy, and network data library module and network information management module are the functional modules of network information center (NIC).Wherein, described medical diagnosis module, described signal identification are connected with network information center (NIC) by described network communication module with maintenance module with monitoring modular, described intercommunion platform module, described training terminal module and described security of system, gathering and processing of information carried out in described network information center (NIC), and supports the operations request of described medical diagnosis module, described signal identification and monitoring modular, described intercommunion platform module, described training terminal module and described security of system and maintenance module by described network communication module.
As shown in Figure 2, the network structure of preferred embodiment of the present invention comprises: network information center (NIC), hospital application terminal, community rehabilitation's terminal, family care terminal and mobile phone terminal.Described hospital application terminal, community rehabilitation's terminal, family care terminal are connected with the network information center (NIC) server by internet or mobile communication network with mobile phone terminal.
Hospital application terminal as above can be divided into diagnosis terminal and rehabilitation terminal by the function difference, and the network information center (NIC) server can be divided into management server and data server, and mobile phone terminal is divided into mobile phone application terminal and Mobile Phone Short Message Service terminal.Wherein, the use object of diagnosis terminal is the doctor, comprises identification module, medical diagnosis module and intercommunion platform module, mainly can be opened exercise prescription and the patient is carried out to the operation of Rehabilitation Assessment; The use object of rehabilitation terminal is sufferer, comprises training terminal module, signal identification and monitoring modular, security of system and maintenance module and intercommunion platform module, mainly can carry out concrete rehabilitation training operation; The mobile phone application terminal mainly obtains the relative recordings such as equipment operation information or Rehabilitation recorded information by mobile network's communication module; The Mobile Phone Short Message Service terminal, the related personnel who is customized this service by the SMS communication module gives information and reminds and information searching function.
Provide the specific works flow process of wisdom medical rehabilitation system of the present invention below by this embodiment.
At first, the doctor is diagnosed for the patient at hospital terminal.System is first identified patient identity by identification module, and patient identity is connected to network information center (NIC) by the network communication module after confirming, the information inquiry module recalls the patient's essential information that is stored in patient's personal information storage module.In addition, when further consultation, the doctor can select inquiry to be stored in the information such as rehabilitation record, rehabilitation condition evaluation record, measurement of muscule strength dynamometry record of Rehabilitation information storage module, as the reference information of therapeutic scheme afterwards.
When the situation to the patient is analyzed with the decision therapeutic scheme, the doctor can carry out reference by the relevant speciality data of knowledge base in the knowledge of rehabilitation library inquiry module requester network database module in the medical diagnosis module, and related data can comprise the professional knowledge of rehabilitation field and case, treatment case history that each hospital submits to.When running into intractable case, the doctor can carry out technology consultation and discussion by the expert of the doctor's interchange in the intercommunion platform module and consultation module and the practitioner who goes together and association area, and each hospital can optionally be used the long-range consultation of doctors module tissue of combining in this intercommunion platform module to hold a consultation to make suitable therapeutic scheme across combining online of section office across hospital.
After determining therapeutic scheme, the doctor passes through the exercise prescription of prescription typing, generation and administration module generating standard form in the medical diagnosis module, and is transferred to the training terminal of hospital by the wireless or cable LAN of hospital.Simultaneously, by the network communication module, exercise prescription is stored in the doctor formula information storage module of network information center (NIC) network data library module.
After generating prescription, the patient can use the rehabilitation terminal to carry out rehabilitation training.When the patient is trained in the rehabilitation terminal, read current exercise prescription from local data base or network data base, then use the training terminal module to carry out rehabilitation training, training information is recorded in the Rehabilitation information storage module of network data library module simultaneously.
In the system operational process, security of system and maintenance module are being protected the user of terminal.The real-time detection module of device signal and the real-time detection module of patient's signal are detecting the ruuning situation of equipment and patient's physiological signal in real time in each terminal, and are processed by the remote monitoring module that the network communication module is transferred to network information center (NIC) network information management module.When the signal of real-time detection occurs when abnormal, emergency is found in network information center (NIC), start the emergency condition processing module of network information management module, and provide indication by the network communication module to the abnormal terminal of appearance, start the equipment emergent stopping module of this terminal system safety and maintenance module.Simultaneously, the user of terminal is in use if there is emergency condition, can be by the SOS module of this terminal system safety and maintenance module by the network communication module to the network information center (NIC) SOS, after receiving the SOS request, the emergency condition processing module of network information center (NIC) network information management module starts.Described emergency condition processing module can be carried out the equipment emergent stopping, the emergency measure suggestion in knowledge base is provided and sends to the professional operations such as cellphone information or online help information of seeking help.
The system maintenance personnel can be known by cellphone information service or application terminal the ruuning situation of each terminal machine of system.When machine operation appearance is abnormal, this machine terminal is transferred to network information center (NIC) by prompting message.The information management module of network information center (NIC) server is transferred to mobile phone by prompting message by the SMS communication module.The mobile phone application terminal is connected to the network information center (NIC) server by mobile network's communication module, can carry out real-time query to the ruuning situation of current each terminal machine.
The doctor can be known by cellphone information service or application terminal patient's training.When the patient carries out rehabilitation training, this machine terminal is transferred to network information center (NIC) by prompting message.The information management module of the management server of network information center (NIC) operates prompting message by the patient and sends to doctor's mobile phone by the SMS communication module.The mobile phone application terminal is connected to the network information center (NIC) server by mobile network's communication module, and the doctor can be inquired about the training of current every sufferer.
Below in conjunction with the lower limb exoskeleton healing robot, the use of rehabilitation terminal is described by a specific embodiment:
As shown in Figure 3, the described operating terminal machine of the present embodiment comprises: equipment self-inspection module, local information administration module, prescription module, training and operation module, measurement of muscule strength dynamometry module, rehabilitation condition evaluation module, network communication module and status monitoring and security module.Wherein: the equipment self-inspection module is connected with the local information administration module, the local information administration module is connected with the prescription module, the prescription module is connected with the training and operation module, the measurement of muscule strength dynamometry module is connected with the local information administration module, rehabilitation condition evaluation module is connected with the local information administration module, the local information administration module is connected with the network communication module, and equipment self-inspection module and status monitoring are connected with the network communication module with security module.
Equipment self-inspection module as above is for the self check of actuating equipment operation, and the operation by machine and motion state detection learn that machine whether can normal operation, and obtain the range of movement of mechanism, make to operate in feasible scope and carry out, and guarantee its security.This equipment self-inspection module is carried out the function of aforesaid multiple terminal system selftest module on this device end.
The interface that prescription module as above provides the doctor to write out a prescription operation.The operation that can carry out is opened exercise prescription, preserves exercise prescription and is read exercise prescription.The doctor can select the training mode needed according to the sufferer situation, and every design parameter of definite training process generates exercise prescription.Prescription can select to preserve exercise prescription to be for future reference and to reuse after generating.When the exercise prescription that need to preserve, the doctor can be read the prescription operation, according to prescription in the past, directly sufferer is carried out to rehabilitation training.This prescription module is carried out the function of aforesaid prescription typing, generation and administration module on this device end.
Wherein, described exercise prescription comprises sufferer essential information and training information.Described training information comprises trains type and the type to train required correlation parameter.Comprising frequency of training, cadence, angular range, force mode etc.
Local information administration module as above is recorded into local information management database by sufferer information, information about doctor, rehabilitation training operation note, equipment self-inspection record and measurement of muscule strength dynamometry record etc., to carry out the information management of this machine customer after facilitating on same machine.Can be checked at the information management interface, inquired about, added, the operation such as deletion.The local information administration module is connected to internet by the network communication module simultaneously, and is connected with aforesaid network information center (NIC) by network.
Training and operation module as above is carried out rehabilitation training for operating the lower limb exoskeleton healing robot to the patient, and the user can carry out associative operation by human-computer interaction interface.Described lower limb exoskeleton healing robot is carried out the function of aforesaid training terminal module.The training and operation module comprises passive flexion and extension module, passive walking module, initiatively bends and stretches module, active walking module, is good for auxiliary module, the auxiliary walking module of strong side of bending and stretching of side.
Wherein, described passive flexion and extension module refers to that driving one-sided suffering limb with one-sided exoskeleton mechanism carries out passive flexion and extension and train software operation module used.
Described passive walking module refers to that carrying out passive gait walking movement by bilateral exoskeleton mechanism drive bilateral suffering limb trains software operation module used.
The described module of initiatively bending and stretching refers to that with one-sided exoskeleton mechanism, by the muscular strength that detects patient's respective side suffering limb, guiding the patient to carry out flexion and extension initiatively trains software operation module used.But the servo-actuated pattern of this module choice for use, assistant mode, three kinds of training modes of resistance model.
Described active walking module refers to that with the bilateral exoskeleton mechanism, by detection patient suffering limb muscular strength, guiding the patient to carry out gait walking movement initiatively trains software operation module used.
The auxiliary module of bending and stretching of described strong side refers to that with one-sided exoskeleton mechanism, by the strong side lower-limb muscular strength of detection patient, guiding patient's suffering limb to carry out passive flexion and extension trains software operation module used.
The auxiliary walking module of described strong side refers to that with the bilateral exoskeleton mechanism, by the strong side lower-limb muscular strength of detection patient, guiding the patient to carry out auxiliary gait walking movement trains software operation module used.
Rehabilitation condition evaluation module as above provides different rehabilitation types required appraisal procedure, and the doctor can fill according to patient's rehabilitation situation the indices of rehabilitation condition evaluation, and further generates the quantized result of rehabilitation assessment.Can select to generate detail file after assessment every result of rehabilitation condition evaluation is preserved to be for future reference, last evaluation result be stored in local and network data base simultaneously.Can record the doctor's who carries out evaluation operation information when preserving assessment result.This rehabilitation condition evaluation module is carried out the function of aforesaid rehabilitation condition evaluation module on this device end.
Wherein, described rehabilitation assessment refers to the rehabilitation degree of sufferer is carried out the evaluation of quantitative criteria.Require to adopt different assessment modes according to the medical treatment of different sufferer types.Evaluation result by different estimation items sums up the current rehabilitation situation of this sufferer.
Measurement of muscule strength dynamometry module as above is carried out the measurement of muscule strength dynamometry operation, can under the two kinds of conditions of joint equal angles motion in the muscle fixed length and under slowly bending and stretching, test muscular strength.And show muscular strength curve and the maximum muscle force recorded on interface.
Network communication module as above is connected to internet by cable broadband or WLAN (wireless local area network), and communication, to network information center (NIC), is received to the information from network information center (NIC) simultaneously.Network communication module is herein carried out the network port and the function be connected on this device end, is the ingredient of the aforesaid network communication module of system.
Status monitoring as above and security module are carried out the partial function of the real-time detection module of aforesaid signal, equipment emergent stopping module and SOS module on this device end.
The Optimizing Flow that this embodiment is used is as follows:
1. equipment self-inspection module: software enters the equipment self-inspection module after opening, and the user can carry out mechanism's self check operation to the lower limb exoskeleton healing robot, and after being operated, mechanism will carry out motion detection, after end in interface display mechanism current situation.This module can be carried out dual-mechanism detection, the detection of left side mechanism, three kinds of patterns of right side mechanism detection.After the self check EO, self-detection result is stored in local and network data base the relative recording as plant maintenance.
2. local information administration module: enter the local information administration module after self check, interface is associated with the local information management database.At the local information administration interface, can carry out consulting and editing of the information such as the management of patient's personal information and every rehabilitation training record, Rehabilitation Assessment record.
3. prescription module: can enter the prescription module from the local information administration module, what the doctor can be write out a prescription according to patient's situation opens.Select the training and operation type in the exercise prescription zone, the design parameter of training, generate for the required prescription of rehabilitation training.Also can select to read prescription in the past.Can select to get back to the local information administration module from the prescription module, also can select to enter the training and operation module.
4. training and operation module: generate prescription or can enter the training and operation module after successfully reading the prescription generated.The training and operation module is divided into passive flexion and extension module, passive walking module, initiatively bends and stretches module, active walking module, is good for auxiliary module, the auxiliary walking module of strong side of bending and stretching of side.In the training and operation module, the patient carries out relevant lower limb rehabilitation training.After training and operation finishes, operation information is stored in local data base and network data base, and can select to get back to the local information administration module.
5. measurement of muscule strength dynamometry module: the user can enter the measurement of muscule strength dynamometry module from the local information administration interface, the measurement of muscule strength dynamometry module can be carried out the measurement of muscule strength dynamometry operation of two kinds of patterns, measure muscle and keeping isometric muscular strength while not moving, and the lower limb constant speed is swung, measure the muscular strength of muscle when different length.After measurement of muscule strength dynamometry, test result can be stored in the database of local data base and network information center (NIC).Can get back to the local information administration module from the measurement of muscule strength dynamometry module.
6. rehabilitation condition evaluation module: the user can enter rehabilitation condition evaluation module from the local information administration interface, the doctor can select professional rehabilitation assessment method to be estimated patient's recovery situation, can be by the rehabilitation assessment result store in the database of local data base and network information center (NIC) after the rehabilitation condition evaluation completes.Can get back to the local information administration module from rehabilitation condition evaluation module.
7. network communication module: information exchange is crossed to wireless network with machine or cable broadband is transferred to LAN (Local Area Network), and by internet, communication is carried out to storage and management to the database of network information center (NIC).Relative recording in this locality can be stored in the network information center (NIC) database by network communication module inquiry, the new record that also can this locality be generated by the network communication module store that the network information center (NIC) database manages into and authority in share.
Lower limb exoskeleton healing robot software systems can coordinate the lower limb exoskeleton healing robot to use, can be used for the disclosed vehicle-mounted movable type walk-assisting exoskeleton rehabilitation robot of Chinese Patent Application No. 201010199188.9, the disclosed sitting exoskeleton lower limb rehabilitation robot of Chinese Patent Application No. 201010543205.6, the clinical rehabilitation training and operation of the multiple lower limb exoskeleton healing robots such as Chinese Patent Application No. 201210122947.0 disclosed original exoskeleton lower limb rehabilitation robots, and be not limited to the rehabilitation training operation of the lower limb exoskeleton healing robot of above kind.
The native system scheme, from the angle of the wisdom medical treatment towards the wisdom city, connects each hospital, community's terminal and home terminal by network, and set medical diagnosis, monitoring in real time, training terminal, network information platform are integrated.In this system, the doctor can complete all processes that information management is estimated in exchange of knowledge, state of an illness diagnosis, rehabilitation operation, rehabilitation situation.This system has also comprised lower limb exoskeleton rehabilitation training operating terminal, intelligentized rehabilitation training operation is combined with the managing medical information of networking, the security function that simultaneously there is real-time monitoring, facilitate the patient of legs and feet inconvenience to select be in or carry out daily workout in community, realize tele-medicine, rehabilitation nearby.In addition, network information center (NIC) and intercommunion platform have been realized interior the sharing of authority of information between each hospital and rehabilitation terminal device.
More than describe preferred embodiment of the present invention in detail.The ordinary skill that should be appreciated that this area just can design according to the present invention be made many modifications and variations without creative work.Therefore, all technician in the art, all should be in the determined protection domain by claims under this invention's idea on the basis of existing technology by the available technical scheme of logical analysis, reasoning, or a limited experiment.
Claims (9)
1. the rehabilitation medical system in a wisdom city, comprise medical diagnosis module, training terminal module, intercommunion platform module, information signal identification and monitoring modular, network communication module, security of system and maintenance module and network information center (NIC), described network information center (NIC) comprises network data library module and network information management module; It is characterized in that, described medical diagnosis module is opened with prescription patient's state of an illness diagnosis for the doctor, by described network communication module, with described network information center (NIC), is connected; Described signal identification comes perception patient and system terminal information with monitoring modular by sensor and RFID technology, by described network communication module, with described network information center (NIC), is connected; Described intercommunion platform module, for the software platform that patient, medical worker and system and maintainer provide communication and consulting, is connected with described network information center (NIC) by described network communication module; Described training terminal module is connected with described network information center (NIC) by described network communication module; The ruuning situation of described security of system and maintenance module detecting & monitoring terminal device, be connected with described network information center (NIC) by described network communication module; Gathering and processing of information carried out in described network information center (NIC), and supports the operation requests of described medical diagnosis module, described signal identification and monitoring modular, described intercommunion platform module, described training terminal module and described security of system and maintenance module by described network communication module.
2. the rehabilitation medical system in wisdom according to claim 1 city, is characterized in that, described medical diagnosis module comprises knowledge of rehabilitation library inquiry module, rehabilitation condition evaluation module and prescription typing, generation and administration module; Described knowledge of rehabilitation library inquiry module is connected with described network communication module, by described network communication module inquiry, is stored in case and the data in the knowledge base information storage module, and auxiliary doctor draws solution; Described rehabilitation condition evaluation module provides rehabilitation assessment method and assessment form, in assessment patient's rehabilitation situation quantized for the doctor the Rehabilitation information storage module that stores described network information center (NIC) into; Described prescription typing, generation and administration module provide the rehabilitation training anagraph form for the doctor, carry out opening, store, revise and calling of rehabilitation training prescription, described prescription typing, generation and administration module call the existing prescription in the doctor formula information storage module that is stored in described network information center (NIC) by described network communication module, and by described network communication module, new recipe are stored into to described doctor formula information storage module to complete the typing of prescription.
3. the rehabilitation medical system in wisdom as claimed in claim 1 city, wherein, described signal identification comprises identification module, the real-time detection module of device signal and the real-time detection module of patient's signal with monitoring modular; Described identification module is used RFID technology identification patient identity, and compares by described network communication module and the information be stored in patient's personal information storage module, obtains operating right; The real-time detection module of described device signal, by the information of sensor and the real-time equipment operation of checkout equipment, is connected with the remote monitoring module of described network information center (NIC) by described network communication module; The real-time detection module of described patient's signal obtains the physiologic information in patient's training process in real time by sensor, by described network communication module, with the remote monitoring module of described network information center (NIC), is connected.
4. the rehabilitation medical system in wisdom as claimed in claim 1 city, wherein, described intercommunion platform module comprises that equipment is used feedback module, patient's consulting to exchange and consultation module with the doctor with feedback module, the long-range module of holding a consultation of combining; Described equipment is used feedback module for the communication between system equipment user and design maintenance personnel, and the equipment on terminal is used described feedback module to interconnect by the voice and video communication module in the especially described network communication module of described network communication module; Described patient consulting and feedback module between patient and doctor about consulting and the feedback of rehabilitation situation, described patient's consulting and feedback module on terminal interconnect by the voice and video communication module in the especially described network communication module of described network communication module; The described long-range consultation of doctors module of combining is for the online consultation of doctors between many section office of many hospitals, and the described long-range consultation of doctors module of combining on terminal interconnects by the voice and video communication module in the especially described network communication module of described network communication module; Described doctor exchanges and consultation module is seeked advice from for the exchange of technology between the medical worker and expert advice, and the described doctor on terminal exchanges with consultation module and interconnects by the voice and video communication module in the especially described network communication module of described network communication module.
5. the rehabilitation medical system in wisdom as claimed in claim 1 city, wherein, described training terminal module comprises rehabilitation institution's module, human-computer interaction module and motion-control module; The mechanical part that described rehabilitation institution module is rehabilitation training terminal robot device, in rehabilitation training, terminal device drives described rehabilitation institution module by described motion-control module, completes the needed motion component of rehabilitation training; Described human-computer interaction module is everybody body signals collecting of training terminal machine, synkinesia module, and in the specific function of rehabilitation training, described human-computer interaction module provides parameter for motion-control module, generates required movement locus and the mechanical response of rehabilitation training; Described motion-control module is combined with described human-computer interaction module, in rehabilitation training, described rehabilitation institution module is carried out to kinematics and dynamics control.
6. the rehabilitation medical system in wisdom as claimed in claim 1 city, wherein, described security of system and maintenance module comprise equipment emergent stopping module, SOS module and multiple terminal system selftest module; Summary responses when described equipment emergent stopping module, when the system judgement, accident occurs, end ongoing operation, and the emergent stopping instruction from the emergency condition processing module of described network information center (NIC) by described network communication module responds; Described SOS module is sought help for long-range emergency when accident occurs, and starts the emergency condition processing module of described network information center (NIC) by described network communication module; Described multiple terminal system selftest module is for the Condition Detection of terminal device, and by testing result by described network communication module stores in the equipment essential information memory module of described network information center (NIC).
7. the rehabilitation medical system in wisdom as claimed in claim 1 city, wherein, described network data library module comprises patient's personal information storage module, Rehabilitation information storage module, doctor formula information storage module, knowledge base information storage module and equipment essential information memory module; Described patient's personal information storage module is for store patient personal information and medical history; Rehabilitation training operation, inspection and rehabilitation condition evaluation information that described Rehabilitation information storage module carried out in system for store patient; Described doctor formula information storage module is for storing the exercise prescription that the doctor opens on each diagnosis terminal; Described knowledge base information storage module upgrades for medicine case, treatment case, professional reference information the maintenance of storing rehabilitation training; Described equipment essential information memory module is stored self-detection result, monitor message, operation note and fault and the service record information of each terminal device.
8. the rehabilitation medical system in wisdom as claimed in claim 1 city, wherein, described network information management module comprises information inquiry module, information management module, emergency condition processing module and remote monitoring module; Described information inquiry module receiving terminal operation requests, access described network data library module, the retrieval of carrying out information with screening return data, respond described terminal operation; Described information management module receives described information and received information is analyzed, managed and stores, and described network data library module is operated; The emergency occurred when described emergency condition processing module summary responses are used, carry out processing scheme; Described remote monitoring module receives the real time detection signal of the real-time detection module of each terminal device signal and the real-time detection module of patient's signal, and carries out described remote monitoring and warning function.
9. the rehabilitation medical system in wisdom as claimed in claim 1 city, wherein, described network communication module, for the every medical information of Internet Transmission, can be divided into broadband/WIFI communication module, mobile network's communication module, SMS communication module and voice and video communication module according to different approaches; Described broadband/WIFI communication module carries out combined network communication between situation of all-level hospitals, rehabilitation community, home terminal and network information center (NIC) by internet and LAN (Local Area Network), described mobile network's communication module is by carrying out mobile communication as GPRS and 3G wireless network mobile communication technology, described SMS communication module carries out the customized messages service by the short message service of mobile phone, and described voice and video communication module carries out online exchange, consulting and remote medical consultation with specialists operation by voice and video communication.
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