WO2008031571A1 - Patient monitoring system - Google Patents

Patient monitoring system Download PDF

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Publication number
WO2008031571A1
WO2008031571A1 PCT/EP2007/007924 EP2007007924W WO2008031571A1 WO 2008031571 A1 WO2008031571 A1 WO 2008031571A1 EP 2007007924 W EP2007007924 W EP 2007007924W WO 2008031571 A1 WO2008031571 A1 WO 2008031571A1
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WO
WIPO (PCT)
Prior art keywords
battery
unit
transmitting unit
patient
power supply
Prior art date
Application number
PCT/EP2007/007924
Other languages
German (de)
French (fr)
Inventor
Hansjörg HALLER
Original Assignee
Smiths Medical Deutschland Gmbh
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Smiths Medical Deutschland Gmbh filed Critical Smiths Medical Deutschland Gmbh
Publication of WO2008031571A1 publication Critical patent/WO2008031571A1/en

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Classifications

    • GPHYSICS
    • G08SIGNALLING
    • G08BSIGNALLING OR CALLING SYSTEMS; ORDER TELEGRAPHS; ALARM SYSTEMS
    • G08B29/00Checking or monitoring of signalling or alarm systems; Prevention or correction of operating errors, e.g. preventing unauthorised operation
    • G08B29/18Prevention or correction of operating errors
    • G08B29/181Prevention or correction of operating errors due to failing power supply
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/0002Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
    • GPHYSICS
    • G08SIGNALLING
    • G08BSIGNALLING OR CALLING SYSTEMS; ORDER TELEGRAPHS; ALARM SYSTEMS
    • G08B21/00Alarms responsive to a single specified undesired or abnormal condition and not otherwise provided for
    • G08B21/02Alarms for ensuring the safety of persons
    • G08B21/04Alarms for ensuring the safety of persons responsive to non-activity, e.g. of elderly persons
    • G08B21/0438Sensor means for detecting
    • G08B21/0453Sensor means for detecting worn on the body to detect health condition by physiological monitoring, e.g. electrocardiogram, temperature, breathing
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00681Aspects not otherwise provided for
    • A61B2017/00734Aspects not otherwise provided for battery operated
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2560/00Constructional details of operational features of apparatus; Accessories for medical measuring apparatus
    • A61B2560/02Operational features
    • A61B2560/0204Operational features of power management
    • A61B2560/0214Operational features of power management of power generation or supply
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2560/00Constructional details of operational features of apparatus; Accessories for medical measuring apparatus
    • A61B2560/04Constructional details of apparatus
    • A61B2560/0456Apparatus provided with a docking unit

Definitions

  • the invention relates to a patient monitoring device according to the preamble f of claim 1.
  • Such a device is known from DE 10 2004 012 042 Al. This device, primarily in operating theaters and intensive care units to monitor vital signals
  • a patient such as B. whose blood pressure is used, has a patient-side transmitting unit to which at least one patient-side transducer is connected, and the measurement data generated by the transducer via a radio link to a usually stationary
  • Receive unit sends. Due to the radio link between the transmitting and receiving unit a complex wiring is avoided, which is not only expensive to connect and to relocate, but also restricts surgeons and hospital staff in theirposisf purity.
  • the patient-side transmitter unit is powered by its own power supply, which in normal operation is a rechargeable battery that can be used in a battery.
  • the stationary receiving unit in normal operation, however, is powered from a conventional electrical network.
  • the state of charge of the battery is continuously monitored and signaled either by an audible and / or visual display on the patient-side transmitting unit and / or also transmitted via the radio link to the stationary receiving unit and there acoustically and / or visually displayed.
  • an alarm signal is output if the state of charge of the battery of the transmitting unit has fallen below a certain charge state value.
  • a freshly charged battery should always be available within reach, which is not always the case, especially in the hectic pace of a surgical operation.
  • a freshly charged battery is present, but not quickly enough findable and on the other hand, that was forgotten to recharge the discharged battery in a previous battery replacement. This can lead to critical conditions since patient-side measured values can not be continuously monitored.
  • DE 101 54 908 A1 describes a telemedicine system with a physician-side consultation center and at least one patient-side mobile telemedicine device which has its own power supply in the form of a rechargeable accumulator and wirelessly transmits patient data to the stationary consultation center.
  • the recharging of the batteries is done via charging stations or docking stations.
  • EP 0 891 745 B1 describes an electrically-operated medical device, such as a high-frequency surgical device, which can be actuated via a foot switch located on the floor below the operating table. To avoid electrical wires from the footswitch to the surgery unit, between these two installed a radio link with a digitized high-frequency signal, wherein the foot switch is powered by a rechargeable battery transmitter. Within the transmitter, a reserve accumulator can be provided which automatically takes over the electrical supply when a main battery is discharged. This condition can be signaled by an acoustic alarm indicator.
  • a charger for the accumulators is provided.
  • the charging station is constructed so that the transmission part is used when not in use in a holder at the receiving station and is charged there automatically.
  • a charging station arranged separately from the receiving station can also be provided for the transmitting part, into which the transmitting part is inserted when not in use and held there in order to charge the accumulator or the accumulators.
  • a charge of the batteries is thus there only during the non-use of the transmitter part. It is therefore expected that during operating pauses the transmitting part is regularly used correctly in the charging station and otherwise relies on said backup battery. Again, it may happen due to carelessness of the staff, that especially in a prolonged operation of the battery or the batteries are discharged, so that the switch is no longer operable with transmitter. For this case, it is provided that a second foot switch is provided with identical trained transmitting part. This means increased equipment costs.
  • the object of the invention is to improve the patient monitoring device of the type mentioned at the outset so that a safer energy supply of the transmitting unit is ensured with a low expenditure on equipment.
  • This object is achieved by the features specified in claim 1.
  • Advantageous embodiments and further developments of the invention can be found in the dependent claims.
  • the basic idea of the invention lies in the fact that the charging station for the accumulator of the transmitting unit fed from the electrical network is fixedly attached to the receiving unit. This ensures that only one possible place for charging the battery exists, from which a freshly charged battery can always be picked up.
  • Each transmitter unit is associated with two batteries, one of which is "in service”, namely in the transmitter unit and the other "in reserve” in the charger. While a battery is being charged, the transmitter unit can thus continue to be operated with the other battery.
  • an adapter for coupling a fed from the electrical network further charging station for the accumulator of the transmitting unit or one of the electrical Mains-powered power supply unit can be coupled, which takes over the power supply instead of the battery of the transmitting unit.
  • the power supply of the transmitting unit is directly or indirectly from the electrical network. For charging not the entire transmitter unit must be used in the charging station but only the battery, which is ensured by the form and / or arrangement of electrical contacts that only special batteries can be used.
  • FIGURE 1 shows schematically a patient monitoring device according to the invention.
  • the patient monitoring device consists of a patient-side transmitter unit 1, to which at least one patient-side transducer 2 is connected, which leads for example via a line 3 to the patient.
  • the conduit 3 may be a pressure sensing conduit inserted into a vein or artery of the patient for invasive blood pressure measurement. It may also be an electrical lead leading to a sensor attached to the patient, not shown, e.g. an electrode for dissipating electrical signals, such. B. an ECG.
  • the transmitting unit 1 has one or more displays 4, for example in the form of lights or LEDs' to display various operating states and one or more keys 5 for operating functions such. B. switch on / off, transmit a test signal or similar. Furthermore, the transmitting unit has an antenna 6 for transmitting patient-side measured data via a radio link 7 to a stationary receiving unit 8.
  • the radio link preferably operates according to the Bluetooth protocol, wherein bi-directional communication takes place between the patient-side transmitter unit and the stationary receiver unit.
  • the transmitting unit 1 is also a receiver and, conversely, the receiving unit 8 is also a transmitter.
  • the receiving unit 8 can query the operational readiness of the transmitting unit 1 or other parameters, whereupon the transmitting unit 1 then transmits a corresponding signal. Nevertheless the terms transmitter unit for the patient-side part and receiver unit for the stationary physician-side part of the patient monitoring device are used below.
  • the transmitting unit 1 has an autonomous power supply, which is independent of the power supply of the receiving unit 8 and is realized in normal operation by a rechargeable accumulator 9, which can be inserted into a receptacle 10 referred to below as the "battery compartment 11.
  • This battery compartment 10 and the accumulator 9 (FIG. hereinafter referred to as "battery” are so adapted to each other in terms of shape, dimensions and contact arrangement that only special batteries can be used ..
  • the battery compartment 10 is mounted on or in the housing of the transmitting unit 1 at easily accessible location, so that the battery 9 easily replaced can be.
  • the basic equipment of the patient monitoring device includes at least two batteries 9 and 9a, one of which is in normal operation in the battery compartment 10 of the transmitting unit 1, while the second battery 9a is charged in a charging station 11.
  • the charging station 11 is located at the receiving unit 8 as an integral part of the same.
  • the receiving unit 8 is powered by an electric cable 12 from a power grid with energy, which is also the charging station 11 is supplied with energy, which is usually done via a power supply unit 13, which may be located in the receiving unit 8 or outside of it as so-called. Plug power supply and the voltage required for the receiving unit 8 and the charging station 11 provides.
  • the charging station is largely identical in terms of shape, dimensions and arrangement of electrical contacts with the battery compartment 10 and thus also adapted only for receiving appropriate special batteries.
  • This measure ensures that always a fresh charged battery 9a is ready and that at a unique location, namely at the receiving station 8, so that the probability that a battery is not charged or stored elsewhere, is already substantially reduced. Moreover, since the operating time of a battery at the transmitting station 1 is longer than the charging time of an empty battery at the receiving station 8, is also excluded that both batteries 9 and 9a not ready, ie "empty", are.
  • the transmitting station 1 can also be supplied with energy directly or indirectly from the power grid in order to cover even the rare case that, despite the above-described measures, there is no sufficiently charged battery available.
  • the following measures have been taken:
  • an adapter 14 is attached, to which an external charger 15 can be connected, via an electrical
  • Cable 16 can be connected to the power grid. This can be charged via the adapter 14 and the external charger 15 during operation of the transmitting unit 1 located in the battery compartment 10 battery 9, wherein during this charging the battery 9 continues to supply the transmitting unit 1 with energy. In that regard, the transmitting unit 1 is fed indirectly from the power grid during this operating condition.
  • a power supply 17 is provided, which is connected via a cable 18 to the power supply network, said power supply 17 in terms of shape, dimensions and contact arrangement corresponds to a battery 9 and thus can be inserted into the battery compartment 10 zt.
  • Both the power supply 17 and the external charger 15 provide the required voltage (eg DC voltage of 9 volts), so that the charger 15 can also take over the function of a power supply in the event that no battery 9 is present in the battery compartment 10.
  • the required voltage eg DC voltage of 9 volts
  • a buffer battery 19 is provided in the transmitting unit 1, which has a relatively small capacity to take over the power supply of the transmitting unit 1 for a few minutes.
  • the backup battery may be, for example, a smaller rechargeable battery, which is electrically connected in parallel to the battery 9 and thus always charged during normal operation. Instead of a backup battery, it is also conceivable to use a capacitor with a larger capacity, which then takes over the power supply for the short transition period.
  • the receiving unit 8 has, in addition to the already described charging station 11 and the components 12 and 13 for the power supply, an antenna 20 for bidirectional communication with the transmitting unit 1 via the radio link 7. Further, it has a display unit 21, such as e.g. a screen for displaying the received measurement signals, e.g. Time course of the blood pressure of a patient or other information, such. Alarm messages, PIN number etc. Furthermore, it has - as known per se - an alphanumeric or numerical keyboard 22, additional control buttons 23 and additional indicator lights 24 and possibly also an acoustic signal generator 25th
  • FIG. 1 the battery compartment 10 and the charging station 11 are shown as laterally attached to the respective housings assemblies. It should be noted that this is purely for illustrative purposes and that the charging station 11 and the battery compartment 10 can of course also be mounted elsewhere, for example, also inside the respective housing. It only has to be ensured that the respective battery 9 or 9a can be replaced quickly and easily.
  • the receiving unit 8 can be operated with a battery, which is necessary, for example, for transport purposes, when a patient is moved, for example, from an emergency room to an operating room.
  • the receiving unit 8 may have its own battery 9b, which is charged by the charger 13 in the case of mains-dependent operation. It can also be provided that in such cases, in which at times no power supply from a network is available, the battery 9a, which is at least partially charged in most cases, the temporary supply of the receiving unit 8 takes over with electrical energy.

Abstract

The patient monitoring system comprises a transmitter unit (1) on the patient end to which at least one measuring transducer (2) on the patient end is connected, and a receiver unit (8), the transmitter unit (1) on the patient end and the receiver unit (8) having respective dedicated power supply means (9; 12, 13). The power supply means of the transmitter unit (1), in the normal operation, being a rechargeable battery (9) that can be inserted in a battery compartment (10) and the power supply means of the receiver unit (8), in the normal operation, being supplied by the mains supply. The aim of the invention is to provide a reliable power supply for continuous operation. For this purpose, a charging station (1) for the battery (9a) of the transmitter unit (1) is fixed to the receiver unit (8) and is supplied by the mains supply, and in addition thereto, an adapter (14) for coupling a charging set (15) for the battery (9) of the transmitter unit (1) is fixed to the transmitter unit (1), said set being supplied by the mains supply, and/or a power supply unit (17) supplied by the mains supply is provided which can be inserted into the battery compartment (10) of the transmitter unit (1) in place of the battery (9).

Description

Patient enüberwachungsvorrichtunq Patient monitoring device
Beschreibungdescription
Die Erfindung bezieht sich auf eine Patientenüberwachungsvorrichtung gemäß dem Oberbegrif f des Patentanspruches 1 .The invention relates to a patient monitoring device according to the preamble f of claim 1.
Eine solche Vorrichtung ist aus der DE 10 2004 012 042 Al bekannt . Diese Vorrichtung, die primär in Operationssälen und auf Intensivstationen zur Überwachung von lebenswichtigenSuch a device is known from DE 10 2004 012 042 Al. This device, primarily in operating theaters and intensive care units to monitor vital
Funktionen eines Patienten , wie z . B . dessen Blutdruck , eingesetzt wird , hat eine patientenseitige Sendeeinheit , an die mindestens ein patientenseitiger Meßwandler angeschlossen ist , und die vom Meßwandler erzeugte Meßdaten über eine Funkstrecke an eine üblicherweise stationäreFunctions of a patient, such as B. whose blood pressure is used, has a patient-side transmitting unit to which at least one patient-side transducer is connected, and the measurement data generated by the transducer via a radio link to a usually stationary
Empf angseinheit sendet . Aufgrund der Funkstrecke zwischen Sende- und Empfangseinheit wird eine aufwendige Verkabelung vermieden , die nicht nur aufwendig anzuschließen und zu verlegen ist , sondern auch Operateure und Klinikpersonal in ihrer Bewegungsf reiheit einschränkt .Receive unit sends. Due to the radio link between the transmitting and receiving unit a complex wiring is avoided, which is not only expensive to connect and to relocate, but also restricts surgeons and hospital staff in their Bewegungsf purity.
Zur weiteren Einsparung von elektrischen Leitungen wird die patientenseitige Sendeeinheit aus einer eigenen Energieversorgung gespeist , die im Normalbetrieb ein in ein Batte- rief ach einsetzbarer wiederauf ladbarer Akkumulator ist .To further save electrical lines, the patient-side transmitter unit is powered by its own power supply, which in normal operation is a rechargeable battery that can be used in a battery.
Die im Normalbetrieb stationäre Empfangseinheit wird dagegen aus einem üblichen elektrischen Netz gespeist . Der Ladezustand des Akkus wird dabei kontinuierlich überwacht und entweder durch eine akustische und/oder optische Anzeige an der patientenseitigen Sendeeinheit signalisiert und/oder über die Funkstrecke auch an die stationäre Empfangseinheit übermittelt und dort akustisch und/oder optisch zur Anzeige gebracht. Insbesondere wird ein Alarmsignal ausgegeben, wenn der Ladezustand des Akkus der Sendeeinheit einen be- stimmten Ladezustandswert unterschritten hat.The stationary receiving unit in normal operation, however, is powered from a conventional electrical network. The state of charge of the battery is continuously monitored and signaled either by an audible and / or visual display on the patient-side transmitting unit and / or also transmitted via the radio link to the stationary receiving unit and there acoustically and / or visually displayed. In particular, an alarm signal is output if the state of charge of the battery of the transmitting unit has fallen below a certain charge state value.
In diesem Falle verbleibt noch eine vorgegebene Zeitdauer, die in der Praxis auf einige Minuten bis zu 60 Minuten eingestellt wird, um den Akku der patientenseitigen Sendeein- heit auszutauschen.In this case, there remains a predetermined period of time, which is set in practice to a few minutes up to 60 minutes to replace the battery of the patient-side transmitting unit.
Im Regelfall sollte stets ein frisch aufgeladener Akku in greifbarer Nähe vorhanden sein, was aber gerade in der Hektik eines Operationsbetriebes nicht immer der Fall ist. Zum einen kann es vorkommen, daß ein frisch aufgeladener Akku zwar vorhanden, aber nicht schnell genug auffindbar ist und zum anderen, daß vergessen wurde, bei einem vorherigen Akkuaustausch den entladenen Akku wieder aufzuladen. Hierdurch kann es zu kritischen Zuständen kommen, da patien- tenseitige Meßwerte nicht kontinuierlich überwacht werden können .As a rule, a freshly charged battery should always be available within reach, which is not always the case, especially in the hectic pace of a surgical operation. First, it may happen that a freshly charged battery is present, but not quickly enough findable and on the other hand, that was forgotten to recharge the discharged battery in a previous battery replacement. This can lead to critical conditions since patient-side measured values can not be continuously monitored.
Die DE 101 54 908 Al beschreibt ein Telemedizinsystem mit arztseitigem Konsultationszentrum und mindestens einer patientenseitigen mobilen Telemedizinvorrichtung, die eine eigene Spannungsversorgung in Form eines aufladbaren Akkumulators hat und auf drahtlosem Wege Patientendaten an das stationäre Konsultationszentrum überträgt . Die Wiederaufladung der Akkumulatoren erfolgt über Ladestationen oder Dockingstationen.DE 101 54 908 A1 describes a telemedicine system with a physician-side consultation center and at least one patient-side mobile telemedicine device which has its own power supply in the form of a rechargeable accumulator and wirelessly transmits patient data to the stationary consultation center. The recharging of the batteries is done via charging stations or docking stations.
Die EP 0 891 745 Bl beschreibt eine elektrisch bestriebene medizinische Vorrichtung, wie z.B. ein Hochfrequenz-Chirurgiegerät, welches über einen unterhalb des Operationstisches auf dem Boden befindlichen Fußschalter betätigt werden kann. Um elektrische Leitungen von dem Fußschalter zu dem Chirurgiegerät zu vermeiden, wird zwischen diesen beiden eine Funkstrecke mit einem digitalisierten Hochfrequenzsignal installiert, wobei am Fußschalter ein von einem wiederaufladbarem Akkumulator gespeister Sender vorhanden ist . Innerhalb des Senders kann ein Reserveakkumulator vorgesehen sein, der bei Entladung eines Hauptakkumulators automatisch die elektrische Speisung übernimmt. Dieser Zustand kann durch eine akkustische Alarmanzeige signalisiert werden.EP 0 891 745 B1 describes an electrically-operated medical device, such as a high-frequency surgical device, which can be actuated via a foot switch located on the floor below the operating table. To avoid electrical wires from the footswitch to the surgery unit, between these two installed a radio link with a digitized high-frequency signal, wherein the foot switch is powered by a rechargeable battery transmitter. Within the transmitter, a reserve accumulator can be provided which automatically takes over the electrical supply when a main battery is discharged. This condition can be signaled by an acoustic alarm indicator.
Am Sendeteil und/oder an der Empfangsstation ist ein Ladege- rät für die Akkumulatoren vorgesehen. Die Ladestation ist dabei so aufgebaut, daß das Sendeteil bei Nichtgebrauch in eine Halterung an der Empfangsstation eingesetzt wird und dort automatisch aufgeladen wird. Alternativ kann auch eine separat von der Empfangsstation angeordnete Ladestation für das Sendeteil vorgesehen sein, in welche das Sendeteil bei Nichtgebrauch eingesetzt und dort gehalten wird, um die Aufladung des Akkumulators bzw. der Akkumulatoren vorzunehmen .At the transmitting part and / or at the receiving station, a charger for the accumulators is provided. The charging station is constructed so that the transmission part is used when not in use in a holder at the receiving station and is charged there automatically. Alternatively, a charging station arranged separately from the receiving station can also be provided for the transmitting part, into which the transmitting part is inserted when not in use and held there in order to charge the accumulator or the accumulators.
Eine Aufladung der Akkumulatoren erfolgt dort somit nur während des Nichtgebrauches des Sendeteils. Man erwartet demnach, daß während Operationspausen das Sendeteil regelmäßig korrekt in die Ladestation eingesetzt wird und verläßt sich ansonsten auf den genannten Reserveakku. Auch hier kann es aber durch Unachtsamkeit des Personals vorkommen, daß vor allem bei einer länger dauernden Operation der Akku bzw. die Akkus entladen sind, so daß der Schalter mit Sendeteil nicht mehr bedienbar ist. Für diesen Fall ist vorgesehen, daß ein zweiter Fußschalter mit identisch ausgebildetem Sendeteil zur Verfügung gestellt wird. Dies bedeutet einen erhöhten Geräteaufwand.A charge of the batteries is thus there only during the non-use of the transmitter part. It is therefore expected that during operating pauses the transmitting part is regularly used correctly in the charging station and otherwise relies on said backup battery. Again, it may happen due to carelessness of the staff, that especially in a prolonged operation of the battery or the batteries are discharged, so that the switch is no longer operable with transmitter. For this case, it is provided that a second foot switch is provided with identical trained transmitting part. This means increased equipment costs.
Aufgabe der Erfindung ist es, die Patientenüberwachungsvorrichtung der eingangs genannten Art dahingehend zu verbes- sern, daß bei geringem Geräteaufwand eine sicherere Energieversorgung der Sendeeinheit gewährleistet ist. Diese Aufgabe wird durch die im Patentanspruch 1 angegebenen Merkmale gelöst . Vorteilhafte Ausgestaltungen und Weiterbildungen der Erfindung sind den Unteransprüchen zu entnehmen .The object of the invention is to improve the patient monitoring device of the type mentioned at the outset so that a safer energy supply of the transmitting unit is ensured with a low expenditure on equipment. This object is achieved by the features specified in claim 1. Advantageous embodiments and further developments of the invention can be found in the dependent claims.
Der Grundgedanke der Erf indung liegt darin , die aus dem elektrischen Netz gespeiste Ladestation für den Akkumulator der Sendeeinheit fest an der Empfangseinheit anzubringen . Damit ist sichergestellt , daß nur ein möglicher Ort für das Aufladen des Akkus existiert , von dem stets ein frisch geladener Akku abgeholt werden kann . Jeder Sendeeinheit sind zwei Akkus zugeordnet , von denen einer " in Betrieb " ist , nämlich in der Sendeeinheit und der andere "in Reserve" in der Ladestation . Während ein Akku aufgeladen wird, kann somit die Sendeeinheit weiter mit dem anderen Akku betrieben werden .The basic idea of the invention lies in the fact that the charging station for the accumulator of the transmitting unit fed from the electrical network is fixedly attached to the receiving unit. This ensures that only one possible place for charging the battery exists, from which a freshly charged battery can always be picked up. Each transmitter unit is associated with two batteries, one of which is "in service", namely in the transmitter unit and the other "in reserve" in the charger. While a battery is being charged, the transmitter unit can thus continue to be operated with the other battery.
Für den Fall, daß beim Auswechseln eines entladenen Akkus vergessen wird, diesen in die Ladestation einzusetzen, ist zusätzlich vorgesehen, daß an der Sendeeinheit ein Adapter für ein Ankoppeln einer aus dem elektrischen Netz gespeisten weiteren Ladestation für den Akkumulator der Sendeeinheit oder eine aus dem elektrischen Netz gespeiste Energieversorgungseinheit angekoppelt werden kann, die anstelle des Akkus der Sendeeinheit die Stromversorgung übernimmt. In letzteren Fällen erfolgt dann aus Sicherheitsgründen die Energieversorgung der Sendeeinheit direkt oder indirekt aus dem elektrischen Netz. Für das Aufladen muß nicht die gesamte Sendeeinheit in die Ladestation eingesetzt werden sondern nur deren Akku, wobei durch Form und/oder Anordnung elektrischer Kontakte sichergestellt ist, daß nur Spezialakkus einsetzbar sind. Weiter ist für den Fall, daß kein Akku in die Ladestation an der Empfangseinheit eingesetzt ist, vorgesehen, daß nach einer vorgegebenen Zeitdauer eine Meldung oder ein Alarm ausgegeben wird, um daran zu erinnern, einen Akku einzustecken. Damit wird vermieden, daß vergessen wird, einen leeren Akku aufzuladen und dadurch kein angeladener Akku zur Verfügung steht, wenn an der Sendeeinheit ein frischer Akku benötigt wird.In the event that it is forgotten when replacing a discharged battery to use this in the charging station, it is additionally provided that at the transmitting unit an adapter for coupling a fed from the electrical network further charging station for the accumulator of the transmitting unit or one of the electrical Mains-powered power supply unit can be coupled, which takes over the power supply instead of the battery of the transmitting unit. In the latter cases, then for security reasons, the power supply of the transmitting unit is directly or indirectly from the electrical network. For charging not the entire transmitter unit must be used in the charging station but only the battery, which is ensured by the form and / or arrangement of electrical contacts that only special batteries can be used. Further, in the event that no battery is inserted into the charging station on the receiving unit, provided that after a predetermined period of time a message or an alarm is issued to remind to insert a battery. This avoids forgetting to charge an empty battery and thus eliminates the need for a recharged battery. if a fresh battery is needed at the transmitter unit.
Im folgenden wird die Erfindung anhand eines Ausführungsbeispieles im Zusammenhang mit der Zeichnung ausführlicher erläutert .In the following the invention will be explained in more detail with reference to an embodiment in conjunction with the drawing.
Die einzige Figur 1 zeigt schematisch eine Patientenüberwachungsvorrichtung nach der Erfindung.The sole FIGURE 1 shows schematically a patient monitoring device according to the invention.
Die Patientenüberwachungsvorrichtung besteht aus einer patientenseitigen Sendeeinheit 1, an die mindestens ein patientenseitiger Meßwandler 2 angeschlossen ist, der beispielsweise über eine Leitung 3 zum Patienten führt. Die Leitung 3 kann beispielsweise eine Druckmeßleitung sein, die zur invasiven Blutdruckmessung in eine Vene oder Arterie des Patienten eingeführt ist . Es kann sich auch um eine elektrische Leitung handeln, die zu einem am Patienten befestigten, nicht dargestellten Sensor führt, wie z.B. eine Elektrode zur Ableitung elektrischer Signale, wie z . B . einem EKG .The patient monitoring device consists of a patient-side transmitter unit 1, to which at least one patient-side transducer 2 is connected, which leads for example via a line 3 to the patient. For example, the conduit 3 may be a pressure sensing conduit inserted into a vein or artery of the patient for invasive blood pressure measurement. It may also be an electrical lead leading to a sensor attached to the patient, not shown, e.g. an electrode for dissipating electrical signals, such. B. an ECG.
Die Sendeeinheit 1 hat ein oder mehrere Anzeigen 4 , bei spielsweise in Form von Lämpchen oder LED ' s zur Anzeige verschiedener Betriebs zustände sowie ein oder mehrere Tasten 5 für Bedienfunktionen, wie z . B . ein- /ausschalten, Übertragen eines Testsignales oder ähnliches . Weiter hat die Sendeeinheit eine Antenne 6 zur Aussendung von patientenseitigen Meßdaten über eine Funkstrecke 7 an eine stationäre Empfangε- einheit 8 . Die Funkstrecke arbeitet vorzugsweise nach dem Bluetooth- Protokoll , wobei zwischen patientenseitiger Sendeeinheit und stationärer Empfangseinheit eine bidirektionale Kommunikation stattfindet . Insoweit ist die Sendeeinheit 1 auch zusätzlich ein Empfänger und umgekehrt die Empfangseinheit 8 auch ein Sender . Beispielsweise kann die Empf angsein - heit 8 die Betriebsbereitschaft der Sendeeinheit 1 abfragen oder sonstige Parameter , worauf die Sendeeinheit 1 dann ein entsprechendes Signal aussendet . Gleichwohl werden nachfolgend die Begriffe Sendeeinheit für den patientenseiti- gen Teil und Empfangseinheit für den stationären arztseitigen Teil der Patientenüberwachungsvorrichtung verwendet.The transmitting unit 1 has one or more displays 4, for example in the form of lights or LEDs' to display various operating states and one or more keys 5 for operating functions such. B. switch on / off, transmit a test signal or similar. Furthermore, the transmitting unit has an antenna 6 for transmitting patient-side measured data via a radio link 7 to a stationary receiving unit 8. The radio link preferably operates according to the Bluetooth protocol, wherein bi-directional communication takes place between the patient-side transmitter unit and the stationary receiver unit. In that regard, the transmitting unit 1 is also a receiver and, conversely, the receiving unit 8 is also a transmitter. For example, the receiving unit 8 can query the operational readiness of the transmitting unit 1 or other parameters, whereupon the transmitting unit 1 then transmits a corresponding signal. Nevertheless the terms transmitter unit for the patient-side part and receiver unit for the stationary physician-side part of the patient monitoring device are used below.
Die Sendeeinheit 1 hat eine autonome Energieversorgung, die von der Energieversorgung der Empfangseinheit 8 unabhängig ist und im Normalbetrieb durch einen wiederaufladbaren Akkumulator 9 realisiert ist, der in eine im folgenden "Batteriefach11 genannte Aufnahme 10 einsetzbar ist. Dieses Batteriefach 10 und der Akkumulator 9 (im folgenden kurz "Akku" genannt, sind hinsichtlich Form, Abmessungen und Kontaktanordnung so aneinander angepaßt, daß nur Spezialakkus eingesetzt werden können. Das Batteriefach 10 ist am oder im Gehäuse der Sendeeinheit 1 an leicht zugänglicher Stelle angebracht, so daß der Akku 9 leicht ausgetauscht werden kann.The transmitting unit 1 has an autonomous power supply, which is independent of the power supply of the receiving unit 8 and is realized in normal operation by a rechargeable accumulator 9, which can be inserted into a receptacle 10 referred to below as the "battery compartment 11. This battery compartment 10 and the accumulator 9 (FIG. hereinafter referred to as "battery" are so adapted to each other in terms of shape, dimensions and contact arrangement that only special batteries can be used .. The battery compartment 10 is mounted on or in the housing of the transmitting unit 1 at easily accessible location, so that the battery 9 easily replaced can be.
Zur Grundausstattung der Patientenüberwachungsvorrichtung gehören mindestens zwei Akkus 9 und 9a, von denen einer im Normalbetrieb im Batteriefach 10 der Sendeeinheit 1 ist, während der zweite Akku 9a in einer Ladestation 11 aufgeladen wird. Die Ladestation 11 befindet sich an der Empfangseinheit 8 als wesentlicher Bestandteil derselben. Die Empfangseinheit 8 wird über ein elektrisches Kabel 12 aus einem Stromnetz mit Energie versorgt, worüber auch die Ladestation 11 mit Energie versorgt wird, was im Regelfall über ein Netzgerät 13 erfolgt, das sich in der Empfangseinheit 8 befinden kann oder auch außerhalb derselben als sog. Steckernetzteil und die für die Empfangseinheit 8 und die Ladestation 11 benötigte Spannung bereitstellt.The basic equipment of the patient monitoring device includes at least two batteries 9 and 9a, one of which is in normal operation in the battery compartment 10 of the transmitting unit 1, while the second battery 9a is charged in a charging station 11. The charging station 11 is located at the receiving unit 8 as an integral part of the same. The receiving unit 8 is powered by an electric cable 12 from a power grid with energy, which is also the charging station 11 is supplied with energy, which is usually done via a power supply unit 13, which may be located in the receiving unit 8 or outside of it as so-called. Plug power supply and the voltage required for the receiving unit 8 and the charging station 11 provides.
Die Ladestation ist hinsichtlich Form, Abmessungen und Anordnung elektrischer Kontakte weitestgehend baugleich mit dem Batteriefach 10 und somit ebenfalls nur für die Aufnahme entsprechender Spezialakkus angepaßt.The charging station is largely identical in terms of shape, dimensions and arrangement of electrical contacts with the battery compartment 10 and thus also adapted only for receiving appropriate special batteries.
Mit dieser Maßnahme ist sichergestellt, daß stets ein frisch aufgeladener Akku 9a bereitsteht und zwar an einem eindeutigen Ort, nämlich an der Empfangsstation 8, so daß die Wahrscheinlichkeit, daß ein Akku nicht aufgeladen oder an anderer Stelle abgelegt ist, schon wesentlich verringert ist. Da im übrigen die Betriebszeit eines Akkus an der Sendestation 1 länger ist als die Aufladezeit eines leeren Akkus an der Empfangsstation 8, ist auch ausgeschlossen, daß beide Akkus 9 und 9a nicht betriebsbereit, d.h. "leer", sind.This measure ensures that always a fresh charged battery 9a is ready and that at a unique location, namely at the receiving station 8, so that the probability that a battery is not charged or stored elsewhere, is already substantially reduced. Moreover, since the operating time of a battery at the transmitting station 1 is longer than the charging time of an empty battery at the receiving station 8, is also excluded that both batteries 9 and 9a not ready, ie "empty", are.
Als zusätzliche Sicherheitsmaßnahme ist vorgesehen, daß die Sendestation 1 auch direkt oder indirekt aus dem Stromnetz mit Energie versorgt werden kann, um auch den seltenen Fall abzudecken, daß trotz der oben geschilderten Maßnahmen kein ausreichend geladener Akku zur Verfügung steht . Zu diesem Zwecke sind alternativ oder kumulativ folgende Maßnahmen getroffen:As an additional security measure, it is provided that the transmitting station 1 can also be supplied with energy directly or indirectly from the power grid in order to cover even the rare case that, despite the above-described measures, there is no sufficiently charged battery available. For this purpose, alternatively or cumulatively, the following measures have been taken:
a) An dem Batteriefach 10 der Sendeeinheit 1 ist ein Adapter 14 angebracht, an den ein externes Ladegerät 15 angeschlossen werden kann, das über ein elektrischesa) To the battery compartment 10 of the transmitting unit 1, an adapter 14 is attached, to which an external charger 15 can be connected, via an electrical
Kabel 16 an das Energieversorgungsnetz angeschlossen werden kann. Damit kann während des laufenden Betriebes der Sendeeinheit 1 der im Batteriefach 10 befindliche Akku 9 über den Adapter 14 und das externe Ladegerät 15 aufgeladen werden, wobei während dieses Aufladens der Akku 9 weiterhin die Sendeeinheit 1 mit Energie versorgt . Insoweit wird während dieses Betriebszustandes die Sendeeinheit 1 indirekt aus dem Energieversorgungsnetz gespeist.Cable 16 can be connected to the power grid. This can be charged via the adapter 14 and the external charger 15 during operation of the transmitting unit 1 located in the battery compartment 10 battery 9, wherein during this charging the battery 9 continues to supply the transmitting unit 1 with energy. In that regard, the transmitting unit 1 is fed indirectly from the power grid during this operating condition.
b) Es ist ein Netzteil 17 vorgesehen , das über ein Kabel 18 an das Energieversorgungsnetz anschließbar ist , wobei dieses Netzteil 17 hinsichtlich Form, Abmessungen und Kontaktanordnung einem Akku 9 entspricht und somit in das Batteriefach 10 eingeset zt werden kann .b) It is a power supply 17 is provided, which is connected via a cable 18 to the power supply network, said power supply 17 in terms of shape, dimensions and contact arrangement corresponds to a battery 9 and thus can be inserted into the battery compartment 10 zt.
Sowohl das Netzteil 17 als auch das externe Ladegerät 15 liefern die benötigte Spannung (z.B. Gleichspannung von 9 Volt) , so daß das Ladegerät 15 auch die Funktion eines Netzgerätes übernehmen kann für den Fall, daß kein Akku 9 im Batteriefach 10 vorhanden ist.Both the power supply 17 and the external charger 15 provide the required voltage (eg DC voltage of 9 volts), so that the charger 15 can also take over the function of a power supply in the event that no battery 9 is present in the battery compartment 10.
Für den Fall, daß während eines normalen Betriebes der Sendeeinheit 1 ein Akku 9 durch einen frisch aufgeladenen Akku 9a ersetzt werden muß, soll selbstverständlich der Betrieb der Sendeeinheit 1 nicht unterbrochen werden. Zu diesem Zweck ist in der Sendeeinheit 1 eine Pufferbatterie 19 vorgesehen, die eine relativ geringe Kapazität hat, um für einige Minuten die Energieversorgung der Sendeeinheit 1 zu übernehmen. Die Pufferbatterie kann beispielsweise ein kleinerer wiederaufladbarer Akku sein, der elektrisch zu dem Akku 9 parallel geschaltet ist und somit während des normalen Betriebes stets aufgeladen wird. Anstelle einer Pufferbatterie ist es auch denkbar, einen Kondensator mit größerer Kapazität zu verwenden, der dann für die kurze Übergangszeit die Energieversorgung übernimmt .In the event that during a normal operation of the transmitting unit 1, a battery 9 must be replaced by a freshly charged battery 9a, of course, the operation of the transmitting unit 1 should not be interrupted. For this purpose, a buffer battery 19 is provided in the transmitting unit 1, which has a relatively small capacity to take over the power supply of the transmitting unit 1 for a few minutes. The backup battery may be, for example, a smaller rechargeable battery, which is electrically connected in parallel to the battery 9 and thus always charged during normal operation. Instead of a backup battery, it is also conceivable to use a capacitor with a larger capacity, which then takes over the power supply for the short transition period.
Die Empfangseinheit 8 hat neben der bereits beschriebenen Ladestation 11 und den Komponenten 12 und 13 für die Stromversorgung eine Antenne 20 zur bidirektionalen Kommunikation mit der Sendeeinheit 1 über die Funkstrecke 7. Weiter hat sie eine Anzeigeeinheit 21, wie z.B. einen Bildschirm, zur Darstellung der empfangenen Meßsignale, wie z.B. zeitlicher Verlauf des Blutdruckes eines Patienten oder sonstige Informationen, wie z.B. Alarmmeldungen, PIN-Nummer etc. Des weiteren hat sie - wie an sich bekannt - eine alphanume- rische oder nur numerische Tastatur 22, zusätzliche Bedientasten 23 sowie zusätzliche Anzeigelampen 24 sowie ggf. auch noch einen akustischen Signalgeber 25.The receiving unit 8 has, in addition to the already described charging station 11 and the components 12 and 13 for the power supply, an antenna 20 for bidirectional communication with the transmitting unit 1 via the radio link 7. Further, it has a display unit 21, such as e.g. a screen for displaying the received measurement signals, e.g. Time course of the blood pressure of a patient or other information, such. Alarm messages, PIN number etc. Furthermore, it has - as known per se - an alphanumeric or numerical keyboard 22, additional control buttons 23 and additional indicator lights 24 and possibly also an acoustic signal generator 25th
Selbstverständlich können an die Empfangseinheit 8 auch noch weitere Peripheriegeräte angeschlossen werden, wie z.B. ein externer Monitor, ein Drucker, externe oder interne Datenspeicher oder ähnliche Geräte. In Fig. 1 sind das Batteriefach 10 und die Ladestation 11 als seitlich an den jeweiligen Gehäusen angebrachte Baugruppen dargestellt. Es wird darauf hingewiesen, daß dies rein zur Veranschaulichung dient und daß die Ladestation 11 und das Batteriefach 10 selbstverständlich auch an anderer Stelle angebracht sein können, beispielsweise auch im Inneren der jeweiligen Gehäuse. Es muß lediglich sichergestellt sein, daß der jeweilige Akku 9 bzw. 9a schnell und einfach ausgetauscht werden kann.Of course, other peripherals can be connected to the receiving unit 8, such as an external monitor, a printer, external or internal data storage or similar devices. In Fig. 1, the battery compartment 10 and the charging station 11 are shown as laterally attached to the respective housings assemblies. It should be noted that this is purely for illustrative purposes and that the charging station 11 and the battery compartment 10 can of course also be mounted elsewhere, for example, also inside the respective housing. It only has to be ensured that the respective battery 9 or 9a can be replaced quickly and easily.
Schließlich ist auch vorgesehen, daß die Empfangseinheit 8 mit einem Akku betrieben werden kann, was beispielsweise für Transportzwecke nötig ist, wenn ein Patient beispielsweise von einem Notaufnahmeraum zu einem OP-Saal verlegt wird. Für diesen Fall kann die Empfangseinheit 8 einen eigenen Akku 9b haben, der bei netzabhängigem Betrieb von dem Ladegerät 13 aufgeladen wird. Auch kann vorgesehen sein, daß in solchen Fällen, bei denen zeitweise keine Stromversorgung aus einem Netz zur Verfügung steht, der Akku 9a, der in den meisten Fällen zumindest teilaufgeladen ist, die zeitweise Versorgung der Empfangseinheit 8 mit elektrischer Energie übernimmt . Finally, it is also provided that the receiving unit 8 can be operated with a battery, which is necessary, for example, for transport purposes, when a patient is moved, for example, from an emergency room to an operating room. In this case, the receiving unit 8 may have its own battery 9b, which is charged by the charger 13 in the case of mains-dependent operation. It can also be provided that in such cases, in which at times no power supply from a network is available, the battery 9a, which is at least partially charged in most cases, the temporary supply of the receiving unit 8 takes over with electrical energy.

Claims

Patentansprüche claims
1. Patientenüberwachungsvorrichtung mit einer patienten- seitigen Sendeeinheit (1) , an die mindestens ein pa- tientenseitiger Meßwandler (2) angeschlossen ist und die Meßdaten über eine Funkstrecke (7) an eine Empfangseinheit (8) sendet, wobei die patientenseitige Sendeeinheit (1) und die Empfangseinheit (8) je eine eigene Energieversorgung (9; 12, 13) aufweisen, von denen die der Sendeeinheit (1) im Normalbetrieb ein in ein Batteriefach (10) einsetzbarer wiederaufladbarer Akkumulator (9) ist und die der Empfangseinheit (8) im Normalbetrieb aus einem elektrischen Netz gespeist ist, dadurch gekennzeichnet, daß an der Empfangseinheit (8) eine aus dem elektrischen Netz gespeiste Ladestation (11) für den Akkumulator (9a) der Sendeeinheit (1) fest angebracht ist, daß zusätzlich an der Sendeeinheit (1) ein Adapter1. patient monitoring device with a patient-side transmitting unit (1), to which at least one patient-side transducer (2) is connected and transmits the measured data via a radio link (7) to a receiving unit (8), wherein the patient-side transmitting unit (1) and the receiving unit (8) each have their own power supply (9, 12, 13), of which the transmitting unit (1) is a rechargeable accumulator (9) usable in a battery compartment (10) during normal operation and that of the receiving unit (8). is fed in normal operation from an electrical network, characterized in that at the receiving unit (8) a powered from the electrical network charging station (11) for the accumulator (9a) of the transmitting unit (1) is fixedly mounted, that in addition to the transmitting unit ( 1) an adapter
(14) für ein Ankoppeln eines aus dem elektrischen Netz gespeisten Ladegerätes (15) für den Akkumulator(14) for coupling a powered from the electrical network charger (15) for the accumulator
(9) der Sendeeinheit (1) angebracht ist und/oder daß eine aus dem elektrischen Netz gespeiste Energieversor- gungseinheit (17) vorgesehen ist, die anstelle des(9) of the transmitting unit (1) is mounted and / or that a supplied from the electrical network power supply unit (17) is provided, which instead of the
Akkumulators (9) der Sendeeinheit (1) in das Batteriefach (10) der Sendeeinheit (1) einsetzbar ist.Accumulator (9) of the transmitting unit (1) in the battery compartment (10) of the transmitting unit (1) can be inserted.
2. Patientenüberwachungsvorrichtung nach Anspruch 1, dadurch gekennzeichnet, daß das Batteriefach (10) der Sendeeinheit (1) und die Ladestation (11) der Empfangseinheit (8) hinsichtlich Form, Abmessungen und Anordnung von elektrischen Kontakten weitestgehend baugleich sind und für die Aufnahme von Akkus (9, 9a) angepaßt sind.2. Patient monitoring device according to claim 1, characterized in that the battery compartment (10) of the transmitting unit (1) and the charging station (11) of the receiving unit (8) are largely identical in terms of shape, dimensions and arrangement of electrical contacts and for the reception of batteries (9, 9a) are adapted.
3. Patientenüberwachungsvorrichtung nach Anspruch 1, dadurch gekennzeichnet, daß die aus dem elektrischen Netz gespeiste Energieversorgungseinheit (17) für die Energieversorgung der Sendeeinheit (1) hinsichtlich Form, Abmessungen und Anordnung elektrischer Kontakte im wesentlichen baugleich mit dem Akkumulator (9; 9a) ist.3. Patient monitoring device according to claim 1, characterized in that the energy supply unit (17) fed from the electrical network for the energy supply of the transmitting unit (1) is substantially identical in terms of shape, dimensions and arrangement of electrical contacts to the accumulator (9; 9a).
4. Patientenüberwachungsvorrichtung nach einem der Ansprüche 1 bis 3, dadurch gekennzeichnet, daß die Sendeeinheit (1) zusätzlich eine Pufferbatterie4. Patient monitoring device according to one of claims 1 to 3, characterized in that the transmitting unit (1) additionally a backup battery
(19) aufweist, die eine geringere Ladekapazität als der Akkumulator (9) hat. (19), which has a lower charge capacity than the accumulator (9).
PCT/EP2007/007924 2006-09-12 2007-09-12 Patient monitoring system WO2008031571A1 (en)

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