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CN115398558A - Systems and methods for a universal bridge for medical devices - Google Patents

Systems and methods for a universal bridge for medical devices Download PDF

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CN115398558A
CN115398558A CN202080099883.XA CN202080099883A CN115398558A CN 115398558 A CN115398558 A CN 115398558A CN 202080099883 A CN202080099883 A CN 202080099883A CN 115398558 A CN115398558 A CN 115398558A
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monitor
parameter
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蒋辉杰
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Covidien LP
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    • G16H10/60ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
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Abstract

用于将参数接口通信地连接到监护仪接口的系统和方法包括具有通用接口转换器的通用桥接器,该通用接口转换器包括通用监护仪侧执行器、公共数据和通用参数侧执行器,其中,监护仪侧配置接口与至少一个与通用监护仪侧执行器兼容的监护仪侧配置文件进行通信,并且其中,参数侧配置接口与至少一个与通用参数侧执行器兼容的参数侧配置文件进行通信。

Figure 202080099883

A system and method for communicatively connecting a parameter interface to a monitor interface includes a universal bridge having a universal interface converter including a common monitor-side actuator, a common data, and a generic parameter-side actuator, wherein , the monitor-side configuration interface communicates with at least one monitor-side configuration file compatible with the universal monitor-side actuator, and wherein the parameter-side configuration interface communicates with at least one parameter-side configuration file compatible with the universal parameter-side actuator .

Figure 202080099883

Description

用于医疗设备的通用桥接器的系统和方法Systems and methods for a universal bridge for medical devices

技术领域technical field

本技术总体上涉及使用通用桥接器转换用于医疗监护仪的不同医疗参数数据的系统和方法。The present technology generally relates to systems and methods for converting different medical parameter data for medical monitors using a universal bridge.

背景技术Background technique

在医疗护理领域,护理工作人员(例如,医生和其他医疗护理专业人员)经常期望监测其患者的某些生理特征。因此,研发了各种各样的设备用于监测患者的许多此类特征。此类设备为医生和其他医疗护理人员提供了其所需的信息以为其患者提供尽可能最佳的医疗护理。因此,此类监护设备已经成为现代医学不可或缺的一部分。In the field of medical care, nursing staff (eg, physicians and other medical care professionals) often desire to monitor certain physiological characteristics of their patients. Accordingly, a variety of devices have been developed for monitoring many of these characteristics of patients. Such devices provide doctors and other healthcare professionals with the information they need to provide the best possible medical care for their patients. Therefore, such monitoring devices have become an integral part of modern medicine.

监护设备经常被配置为具有集成处理电路的专用监护单元(例如,独立的脉搏血氧监护仪),该集成处理电路用于接收来自医疗设备的测量结果并将这些测量结果转换成对于临床医生有意义的医疗信息。在某些医疗护理环境中,可以使用多个监护设备来监测单个患者。例如,根据患者的病情,可以使用呼吸机、脉搏血氧仪、透析机或任何其他有助于患者的诊断和治疗的监护系统及其组合对患者进行监测。监护设备可以将数据(例如,测量结果)传输到外部设备(例如,多参数监护仪、远程显示器、电子数据管理系统等),在患者治疗期间,护理提供者(例如,医生和/或医疗护理人员)可以容易地访问这些设备。Monitoring devices are often configured as dedicated monitoring units (e.g., stand-alone pulse oximeters) with integrated processing circuitry for receiving measurements from the medical device and converting those measurements into information useful to the clinician. meaningful medical information. In some healthcare settings, multiple monitoring devices may be used to monitor a single patient. For example, depending on the patient's condition, the patient may be monitored using a ventilator, pulse oximeter, dialysis machine, or any other monitoring system that facilitates the patient's diagnosis and treatment, and combinations thereof. Monitoring devices can transmit data (e.g., measurements) to external devices (e.g., multi-parameter monitors, remote displays, electronic data management systems, etc.), during patient treatment, care providers (e.g., physicians and/or medical care providers) personnel) can easily access these devices.

用于将特定医疗参数数据/信号类型连接到现有(例如,原始设备制造商(“OEM”))医疗监护仪的传统方法依赖于创建同时在硬件方面和软件方面连接监护仪和参数的桥接。图1(现有技术)在100处大体上展示了示例性系统架构,其展示了经由桥接器114与特定参数112接口连接的示例性OEM监护仪110。Traditional methods for interfacing specific medical parameter data/signal types to existing (e.g. Original Equipment Manufacturer (“OEM”)) medical monitors rely on creating bridges that connect the monitor and the parameters both in hardware and software . FIG. 1 (Prior Art) illustrates generally at 100 an example system architecture showing an example OEM monitor 110 interfacing with specific parameters 112 via a bridge 114 .

一种用于桥接器的方法是为每个OEM监护仪和参数连接建立指定的桥接器。图2(现有技术)在200处大体上展示了这样的方法,其中OEM监护仪接口210经由桥接器214连接到参数接口212。每个监护仪到参数的连接均需要指定的桥接器软件编程/接口转换器(在216处大体上示出)来提供连接。接口转换器通常包括指定的监护仪侧执行器218、公共数据220和指定的参数侧执行器222。例如,这意味着对于三个不同的医疗监护仪和4个参数/信号类型,需要生成12个指定的接口转换器216。One approach for bridges is to build specific bridges for each OEM monitor and parameter connection. FIG. 2 (Prior Art) generally illustrates such an approach at 200 , where an OEM monitor interface 210 is connected to a parameter interface 212 via a bridge 214 . Each monitor-to-parameter connection requires a designated bridge software programming/interface converter (shown generally at 216) to provide the connection. The interface converter typically includes a designated monitor-side actuator 218 , a public data 220 and a designated parameter-side actuator 222 . For example, this means that for three different medical monitors and 4 parameters/signal types, 12 specified interface converters 216 need to be generated.

另一种方法包括建立硬件解决方案以提供这样的连接,比如授予Joshua等人的美国专利号10,095,649所描述的,该专利的全部内容通过援引并入本文。Another approach involves building a hardware solution to provide such a connection, such as that described in US Patent No. 10,095,649 to Joshua et al., which is hereby incorporated by reference in its entirety.

尽管以上描述的软件方法和以上引用的的硬件方法在本领域具有实用性,但仍有改进的空间。While the software methods described above and the hardware methods cited above have utility in the art, there is still room for improvement.

发明内容Contents of the invention

本公开的技术总体上涉及一种用于医疗设备的通用桥接器,该通用桥接器包括通用接口转换器,该通用接口转换器为通用监护仪侧执行器增加访问一个或多个监护仪侧配置文件的配置接口,并为通用参数侧执行器增加访问一个或多个参数侧配置文件的配置接口。The technology of the present disclosure generally relates to a universal bridge for medical devices that includes a universal interface translator that adds access to one or more monitor-side configurations for a universal monitor-side actuator The configuration interface of the file, and a configuration interface for accessing one or more parameter side configuration files is added for the general parameter side executor.

在示例实施例中,用于将参数接口通信地连接到监护仪接口的系统和方法包括具有通用接口转换器的通用桥接器,该通用接口转换器包括通用监护仪侧执行器、公共数据和通用参数侧执行器,其中,监护仪侧配置接口与至少一个与通用监护仪侧执行器兼容的监护仪侧配置文件进行通信,并且其中,参数侧配置接口与至少一个与通用参数侧执行器兼容的参数侧配置文件进行通信。In an example embodiment, a system and method for communicatively coupling a parameter interface to a monitor interface includes a universal bridge having a universal interface converter including a common monitor-side actuator, common data, and common A parameter-side actuator, wherein the monitor-side configuration interface communicates with at least one monitor-side configuration file compatible with the generic monitor-side actuator, and wherein the parameter-side configuration interface communicates with at least one monitor-side configuration file compatible with the generic parameter-side actuator Parameter side configuration files for communication.

以下附图和说明书阐述了本公开的一个或多个方面的细节。从说明书和附图以及权利要求中,本公开中所描述的技术的其他特征、目的和优点将显而易见。The details of one or more aspects of the disclosure are set forth in the accompanying drawings and the description below. Other features, objects, and advantages of the technology described in this disclosure will be apparent from the description and drawings, and from the claims.

附图说明Description of drawings

图1(现有技术)是用于医疗设备桥接器的示例性系统架构的框图;FIG. 1 (Prior Art) is a block diagram of an exemplary system architecture for a medical device bridge;

图2(现有技术)是用于桥接器的单独的指定接口转换器的框图;以及Figure 2 (Prior Art) is a block diagram of a separate designated interface converter for a bridge; and

图3是通用医疗设备桥接器的框图。Figure 3 is a block diagram of a generic medical device bridge.

具体实施方式Detailed ways

医疗设备(例如,传感器、监护系统等)可以用于监测临床环境中的患者。医疗设备收集与如血氧饱和度、脉搏率、呼吸率、血压、潮气量等生理参数相关联的信息,这些生理参数使得参与患者护理的护理工作人员(例如,医生、临床医生、技师等)能够对患者进行评估、诊断和治疗。在患者的治疗过程中,使用具有不同硬件和软件平台的医疗设备并不少见,这些硬件和软件平台可能是医疗设备制造商专有。然而,硬件和/或软件平台之间的差异可能会增加患者监护的复杂性,因为医疗设备可能无法相互通信和/或与护理工作人员监测和/或汇编例如患者病历中的患者信息所使用的数据信息系统(例如,医院信息系统、电子数据管理系统等)进行通信。不同的硬件和/或软件平台可能会给此类系统之间的通信以及试图集成医疗护理环境中的各种监护系统的管理员带来挑战。Medical devices (eg, sensors, monitoring systems, etc.) may be used to monitor patients in a clinical setting. Medical devices collect information associated with physiological parameters such as blood oxygen saturation, pulse rate, respiration rate, blood pressure, tidal volume, etc. Ability to assess, diagnose and treat patients. During the treatment of patients, it is not uncommon to use medical devices with different hardware and software platforms, which may be proprietary to the medical device manufacturer. However, differences between hardware and/or software platforms may add to the complexity of patient monitoring, as medical devices may not be able to communicate with each other and/or with nursing staff to monitor and/or compile patient information such as those used in patient medical records Data information systems (eg, hospital information systems, electronic data management systems, etc.) to communicate. Different hardware and/or software platforms can present challenges for communication between such systems and for administrators attempting to integrate various monitoring systems in a healthcare environment.

另外,信息系统技术的快速进步可能会给现有医疗设备与外部系统(例如,电子数据管理系统)之间的通信带来挑战,这些外部系统可能被升级以包括更先进的信息系统技术。此外,由于控制用于诊断和治疗患者的医疗设备的监管机构提出的质量测试和规范要求,现有和/或未来的医疗设备可能难以跟上信息系统技术的进步。例如,医疗设备根据FDA或其他监管规范制造之后才能被批准进入市场供患者使用。由于此类经过批准的系统可能价格昂贵,医院或其他治疗场所可能不愿意购买可能包括更多功能或特征(包括更新的通信协议)的新设备。然而,现有设备可能难以升级,如果根据其已批准的版本进行修改,可能需要经历监管批准。因此,上一代医疗设备可能不满足与具有较新信息系统技术进步的外部系统进行通信的连接要求。例如,上一代医疗监护仪可能无法传送患者数据以输入电子医疗记录系统的数据流。进一步地,由于每个医院可能从不同的供应商购买电子医疗记录系统,每个单独的电子医疗记录系统可能使用其自己的通信协议。因此,对于特定于不同类型的电子医疗记录系统的每次通信升级,单独的监护仪型号可能需要经历额外监管批准程序。随着信息系统技术的快速进步,医疗护理提供者和设备制造商为了更新现有的医疗设备以跟上信息系统技术的进步可能要承担过于昂贵的成本。Additionally, rapid advances in information systems technology may create challenges for communication between existing medical devices and external systems (eg, electronic data management systems) that may be upgraded to include more advanced information systems technology. Additionally, existing and/or future medical devices may struggle to keep up with advances in information systems technology due to quality testing and specification requirements imposed by regulatory agencies that control medical devices used to diagnose and treat patients. For example, medical devices are not approved for market use by patients until they are manufactured according to FDA or other regulatory specifications. Because such approved systems may be expensive, hospitals or other treatment settings may be reluctant to purchase new equipment that may include additional functions or features, including updated communication protocols. However, existing equipment may be difficult to upgrade and may need to undergo regulatory approval if modified from its approved version. Therefore, previous generation medical devices may not meet the connectivity requirements to communicate with external systems with newer information system technological advancements. For example, previous generation medical monitors may not be able to pass patient data into the data stream of an electronic medical records system. Further, since each hospital may purchase electronic medical record systems from different vendors, each individual electronic medical record system may use its own communication protocol. Therefore, individual monitor models may need to undergo additional regulatory approval processes for each communication upgrade specific to a different type of electronic medical record system. With the rapid advancement of information systems technology, it may be prohibitively expensive for healthcare providers and equipment manufacturers to update existing medical equipment to keep up with advances in information systems technology.

本公开的示例性方面针对上述问题提供了软件解决方案,即用于医疗设备的通用桥接器,该通用桥接器包括通用接口转换器,该通用接口转换器为通用监护仪侧执行器增加访问一个或多个监护仪侧配置文件的配置接口,并为通用参数侧执行器增加访问一个或多个参数侧配置文件的配置接口。An exemplary aspect of the present disclosure provides a software solution to the above-mentioned problems, namely a universal bridge for medical equipment, the universal bridge includes a universal interface converter, the universal interface converter adds access to a universal monitor side actuator Or a configuration interface for multiple monitor-side configuration files, and a configuration interface for accessing one or more parameter-side configuration files is added for the general-purpose parameter-side actuator.

图3中的300处大体上提供了通用桥接器的框图。示例性的OEM监护仪接口310经由通用桥接器314连接到参数接口312。在316处大体上示出的通用桥接器软件编程/接口转换器提供了参数接口312和监护仪接口310的连接。通用接口转换器通常包括通用监护仪侧执行器318、公共数据320和通用参数侧执行器322。监护仪侧配置接口324为通用监护仪侧执行器318提供一个或多个监护仪侧配置文件326。参数侧配置接口328为通用参数侧执行器322提供一个或多个参数侧配置文件330。A block diagram of a universal bridge is provided generally at 300 in FIG. 3 . Exemplary OEM monitor interface 310 is connected to parameter interface 312 via universal bridge 314 . A universal bridge software programming/interface converter, shown generally at 316 , provides the connection of the parameter interface 312 and the monitor interface 310 . The general interface converter generally includes a general monitor side actuator 318 , a common data 320 and a general parameter side actuator 322 . The monitor-side configuration interface 324 provides one or more monitor-side configuration files 326 to the generic monitor-side actuator 318 . The parameter side configuration interface 328 provides the general parameter side actuator 322 with one or more parameter side configuration files 330 .

配置接口324、328和配置文件326、330使得软件解决方案简洁、经过调制并且更加可靠。一旦使用适当的配置文件创建了第一桥接器,就可以根据需要使用额外的配置文件轻松更新桥接器,以增加功能并减少总工作量。Configuration interfaces 324, 328 and configuration files 326, 330 make software solutions compact, tuned and more reliable. Once the first bridge has been created with the appropriate configuration files, the bridges can be easily updated with additional configuration files as needed to increase functionality and reduce overall effort.

应当理解的是,本文所公开的各个方面可以以与说明书和附图中具体呈现的组合不同的组合方式进行组合。还应理解的是,根据示例,本文描述的任何过程或方法的某些动作或事件可以以不同的顺序执行,可以增加、合并或完全不执行(例如,所有描述的动作或事件可能不是执行技术所必需的)。此外,虽然为了清楚起见,本公开的某些方面被描述为由单个模块或单元执行,但应当理解,本公开的技术可以由与例如医疗设备相关联的单元或模块的组合执行。It should be understood that the various aspects disclosed herein may be combined in combinations other than those specifically presented in the specification and drawings. It should also be understood that, depending on the example, certain acts or events of any process or method described herein may be performed in a different order, in addition, combined, or not performed at all (e.g., all described acts or events may not be performed as technical required). Additionally, while certain aspects of the present disclosure have been described as being performed by a single module or unit for clarity, it is to be understood that techniques of the present disclosure may be performed by a combination of units or modules associated with, for example, a medical device.

在一个或多个示例中,可以在硬件、软件、固件或其任何组合中实施所描述的技术。如果是在软件中实施,那么所述功能可以作为一个或多个指令或代码被存储在计算机可读介质上并且由基于硬件的处理单元执行。计算机可读介质可以包括非暂态计算机可读介质,其对应于如数据存储介质(例如,RAM、ROM、EEPROM、闪速存储器或可以用于存储指令或数据结构形式的所需程序代码并可以被计算机访问的任何其他介质)等有形介质。In one or more examples, the techniques described may be implemented in hardware, software, firmware, or any combination thereof. If implemented in software, the functions may be stored as one or more instructions or code on a computer-readable medium and executed by a hardware-based processing unit. Computer-readable media may include non-transitory computer-readable media corresponding to data storage media (e.g., RAM, ROM, EEPROM, flash memory, or Tangible media such as any other media accessed by a computer).

指令可以由一个或多个处理器执行,诸如一个或多个数字信号处理器(DSP)、通用微处理器、专用集成电路(ASIC)、现场可编程逻辑阵列(FPGA)、或其他等效集成或离散逻辑电路系统。因此,如本文中所使用的,术语“处理器”可以指上述结构或适合于实施所描述的技术的任何其他物理结构中的任何结构。此外,所述技术可以在一个或多个电路或逻辑元件中完全实施。Instructions may be executed by one or more processors, such as one or more digital signal processors (DSPs), general purpose microprocessors, application specific integrated circuits (ASICs), field programmable logic arrays (FPGAs), or other equivalent integrated or discrete logic circuitry. Thus, as used herein, the term "processor" may refer to any of the foregoing structures or any other physical structure suitable for implementation of the described techniques. Furthermore, the techniques may be fully implemented in one or more circuits or logic elements.

Claims (20)

1. A system for communicatively connecting a parameter interface to a monitor interface, comprising:
a monitor interface;
a parameter interface; and
a bridge, the bridge comprising:
a universal interface converter comprising a universal monitor side actuator, a common data and a universal parameter side actuator;
a monitor-side configuration interface that communicates with at least one monitor-side configuration file compatible with the universal monitor-side actuator; and
a parameter side configuration interface to communicate with at least one parameter side configuration file compatible with the generic parameter side executor.
2. The system of claim 1, wherein the monitor-side configuration interface is configured to access a plurality of stored monitor-side profiles.
3. The system of claim 1, wherein the parameter side configuration interface is configured to access a plurality of stored parameter side configuration files.
4. The system of claim 1, wherein the system is configured to convert different medical parameters provided to the universal monitor-side effector.
5. The system of claim 1, wherein the universal monitor-side actuator is configured to interface with a plurality of different monitor interfaces.
6. The system of claim 1, wherein the universal monitor-side effector is configured to convert different medical parameters provided by a multi-parameter monitor.
7. The system of claim 1, wherein the system is configured to receive an updated monitor-side profile.
8. The system of claim 1, wherein the system is configured to receive an updated parameter side profile.
9. The system of claim 1, wherein the universal monitor side effector is configured to interface with one or more of a ventilator, a pulse oximeter, a dialysis machine, and a multi-parameter monitor.
10. The system of claim 1, wherein the interface converter is configured to convert one or more physiological parameters including blood oxygen saturation, pulse rate, respiratory rate, blood pressure, and tidal volume.
11. A method for communicatively connecting a parameter interface to a monitor interface, comprising:
providing a monitor interface;
providing a parameter interface; and
providing a bridge, the bridge comprising:
a universal interface converter comprising a universal monitor side actuator, a common data and a universal parameter side actuator;
a monitor-side configuration interface in communication with at least one monitor-side configuration file compatible with the universal monitor-side actuator; and
a parameter side configuration interface to communicate with at least one parameter side configuration file compatible with the generic parameter side executor.
12. The method of claim 11, wherein the monitor-side configuration interface is configured to access a plurality of stored monitor-side profiles.
13. The method of claim 11, wherein the parameter side configuration interface is configured to access a plurality of stored parameter side configuration files.
14. The method of claim 11, wherein the system is configured to convert different medical parameters provided to the universal monitor-side effector.
15. The method of claim 11, wherein the universal monitor-side actuator is configured to interface with a plurality of different monitor interfaces.
16. The method of claim 11, wherein the generic monitor side effector is configured to convert different medical parameters provided by a multi-parameter monitor.
17. The method of claim 11, wherein the system is configured to receive an updated monitor-side profile.
18. The method of claim 11, wherein the system is configured to receive an updated parameter side profile.
19. The method of claim 11, wherein the universal monitor side effector is configured to interface with one or more of a ventilator, a pulse oximeter, a dialysis machine, and a multi-parameter monitor.
20. The method of claim 11, wherein the interface converter is configured to convert one or more physiological parameters including blood oxygen saturation, pulse rate, respiratory rate, blood pressure, and tidal volume.
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