The present invention relates to a biological information monitoring apparatus (so-called a bedside monitor or a central monitor) which receives biological information measured by a biological information detecting unit attached to the patient, directly from the biological information detecting unit or via a network, and which displays the biological information on a displaying unit, and particularly to a biological information monitoring apparatus which displays a vital alarm that is output in abnormality of the biological information, or a technical alarm that is output in abnormality of the biological information monitoring apparatus, a sensor, or the measurement environment, on a displaying unit, and which, after the vital alarm or the technical alarm is displayed, can display responding information that corresponds to the vital alarm or the technical alarm, on the displaying unit.
As a biological information monitoring apparatus which displays biological information that is obtained by processing a detection signal detected from a living body, on a displaying unit, JP-A-2003-220045 discloses a patient monitoring system which includes: a non-invasive cardiac output sensor being capable of acquiring a signal from a patient indicative of blood flow through a heart of the patient; a multi-lead electrocardiogram (ECG) sensor including a plurality of ECG electrodes capable of acquiring a plurality of ECG signals from the patient; and a patient monitor console including an analysis module being coupled to the non-invasive cardiac output sensor and to the multi-lead ECG sensor and processing the signal from the patient indicative of blood flow to produce a value pertaining to cardiac output, and a display being coupled to the analysis module and displaying the value pertaining to cardiac output and an ECG waveform generated based on the ECG signals.
The paragraph 0032 of JP-A-2003-220045 discloses as follows.
“A top level ICG menu 300 as shown in FIG. 4 is displayed. The top level. ICG menu 300 comprises a patient information button 302, a fast look button 304, a secondary parameters button 306, a limits button 308, a trends button 310, a help button 312, a waveform button 314, a speed button 316, a signal quality button 318, a beat average button 320, a change normals button 322, and a check leads button 324.”
As an alarm for abnormality of a measured value, the paragraph 0039 of JP-A-2003-220045 discloses as follows.
“If an operator input is received selecting the limits button, then a limits menu is displayed. The limits menu permits the operator to adjust alarm limits for TFC and CI. High and low limits can be adjusted for both parameters. The current limit settings are shown in an information window, and the current value of that parameter for the monitored patent is also shown using arrows. As long as that value remains between the high and low limits, there will be no alarm. Should a limit be exceeded, an alarm will occur.”
“If the help button 312 is selected and an operator input is received, then the help information windows are displayed.”
The help information window 370 of
“GETTING STARTED
CONFIRM ADEQUATE SKIN PREPARATION!
Orient ICG Sensors with Heart Designation Closest to the PATIENT'S HEART.
VERIFY ICG R and L CABLE BUNDLES CORRESPOND TO THE PATIENT'S ANATOMIC R AND L SIDES.
ENTER REQUIRED PATIENT INFO INCLUDING HEIGHT, WEIGHT, AGE AND SEX.
CONFIRM SOURCE FOR MAP, CVP, AND PAW VALUES VIA THE PATIENT INFO MENU.”, and icons of “NEXT WINDOW” and “CLOSE WINDOW” are displayed in the help information window 370.
Moreover, the help information window 372 of
“PROPER SENSOR PLACEMENT
NECK: PLACE NECK SENSORS VERTICALLY ALONG THE SIDES OF THE NECK DIRECTLY BELOW THE EAR LOBE.
THORAX: PLACE THE SUPERIOR THORACIC SENSOR IN LINE WITH THE XIPHOID PROCESS ON EITHER SIDE OF THE THORAX ALONG THE MID-AXILLARY LINE.
SENSOR PAIRS MUST BE POSITIONED DIRECTLY OPPOSITE EACH OTHER.”, and icons of “NEXT WINDOW”, “PREVIOUS WINDOW”, and “CLOSE WINDOW” are displayed in the help information window 372.
Furthermore, the help information window 374 of
“HELP FOR ICG MONITORING
PROBLEM: PARAMETER VALUE DISPLAYS X.
SOLUTIONS: VERIFY PATIENT INFO HAS BEEN ENTERED, INCLUDING HEIGHT, WEIGHT, AGE, SEX, A SOURCE FOR MAP AND VALUES FOR CVP AND PAW.
PARAMETER INPUT VALUES MAY BE OUT OF RANGE.
PROBLEM: POOR SIGNAL QUALITY
SOLUTIONS: MINIMIZE PATIENT MOVEMENT AND TALKING AS THEY MAY AFFECT DATA QUALITY.
CHECK ICG LEAD INTEGRITY INCLUDING SENSOR GEL AND CABLE CONNECTIONS.
SELECT A SIGNAL QUALITY OPTION THAT DISPLAYS THE BEST WAVEFORM AND SIGNAL STRENGTH INDICATORS.”, and icons of “NEXT WINDOW” and “CLOSE WINDOW” are displayed in the help information window 374.
In the patient monitoring system disclosed in JP-A-2003-220045, in response to an alarm for abnormality of a measured value and selection of the help button in the display screen, the help information window is displayed on the screen. The help information window is displayed in a so-called wizard format in which the user selects one of the icons of “NEXT WINDOW”, “PREVIOUS WINDOW”, and “CLOSE WINDOW” to select a display screen desired by the user. A close relationship is not established between the alarm generated by abnormality of the measured value or the like and the help information window displayed on the screen.
A biological information monitoring apparatus has a function of, as an alarm for abnormality occurring in a detection signal detected from the living body of the patient by the apparatus, the apparatus body unit, a sensor attached to the patient, or the like, generating a visual and/or auditory alarm. However, the alarm indicates only the present situation, and the apparatus does not generate a message in which the past alarm generating situation is considered, and which is different from the alarm.
As abnormality occurring in the body unit of the biological information monitoring apparatus or a sensor attached to the patient, in, for example, an SpO2 probe or ECG electrode which is a sensor, particularly, there sometimes occurs a phenomenon such as that, when the patient moves because of rolling over during measurement, the contact state is temporarily impaired, or that, after the sensor is once detached, the sensor is immediately returned to its original state. As abnormality in the measurement environment, for example, there are a state where, when a measured biological signal is wirelessly transmitted, an interruption of the radio wave or a failure of reception occurs, and a phenomenon in which the contact impedance of an electrode is increased and noises enter the signal.
Also in such a case, it is detected that abnormality occurs in the body unit of the apparatus, the sensor, or the measurement environment, and a visual and/or auditory alarm is generated as a technical alarm.
In the case where the contact state is temporarily impaired when the patient rolls over during measurement, or, after the sensor is once detached, the sensor is immediately returned to its original state, however, it is not always necessary that a medical person who monitors the patient through the biological information monitoring apparatus in a nurse's station goes to a medical ward of the patient, but the case where the contact state is temporarily impaired or detachment temporarily occurs cannot be distinguished from that where the sensor state is immediately returned to its original state.
According to improvement of the medical technology and advancement of medical equipment, a medical person is requested not only to have extensive knowledge but also to rapidly respond to an alarm. It can be assumed that, when an alarm is generated, an inexperienced medical person cannot decide how to respond to the alarm, or cannot know the cause of the alarm.
It is therefore an object of the invention to provide a biological information monitoring apparatus which displays a vital alarm that is output in abnormality of a detection signal, or a technical alarm that is output in abnormality of the biological information monitoring apparatus, a sensor, or the measurement environment, on a displaying unit, and which, after the vital alarm or the technical alarm is displayed, displays responding information that corresponds to the vital alarm or the technical alarm, on the displaying unit.
It is also an object of the invention to provide a biological information monitoring apparatus which, when a vital alarm that is output in abnormality of a detection signal, or a technical alarm that is output in abnormality of the biological information monitoring apparatus, a sensor, or the measurement environment is displayed on a displaying unit, can output responding information in which a situation where a vital alarm or a technical alarm is generated in past is considered.
Examples of the abnormality of the measurement environment are a state where, when measured biological information is wirelessly transmitted to the biological information monitoring apparatus, the apparatus cannot receive the biological information because of an interruption of the radio wave or a failure of reception, and that where the attachment state of an electrode attached to a living body is poor.
In order to achieve the object, according to the invention, there is provided a biological, information monitoring apparatus operable to receive biological information measured by a detector adapted to be attached to a patient, and operable to display the biological information on a display, the biological information monitoring apparatus comprising: a first display controller which displays an alarm on the display; and a second display controller which displays, on the display, first information which responses to the displayed alarm.
The first information may include means, instruction, or suggestion for canceling abnormality related to the displayed alarm.
The alarm and the first information may be not superimposed on each other on the display.
The first information may include at least one of a character and a graphical illustration.
When the first information is displayed on the display, a sound may be output.
When the displayed alarm satisfies at least one of predetermined conditions of a generation frequency, a generation number, a duration time, and an integration time, the first information may be displayed on the display.
When a predetermined condition is satisfied, the first information may be displayed, and when the predetermined condition is unsatisfied after the first information is displayed, display of the first information may be cancelled.
When a condition is satisfied, the first information may be displayed, and the condition may be set for kind of the alarm.
The first information may be displayed in a blinking or inverted manner.
The first information may be displayed when a user operates a guide key, which is displayed on the display at a time when the alarm is displayed, which is displayed on the display after a predetermined time elapses from a time when the alarm is displayed, or which is displayed on the display when a number of the alarm reaches a predetermined number.
When a user selects the alarm displayed on the display, the first information may be displayed on the display.
The first information may be formed by a window including a plurality of elements, and one of the plurality of elements which corresponds to the displayed alarm may be displayed at a most front.
When the alarm satisfies at least one of predetermined conditions of a generation frequency, a generation number, a duration time, and an integration time, the second display controller may display, on the display, second information which responses to the alarm and which a user can operate.
The second information may include a plurality of information.
The second display controller may determine the second information to be displayed, based on presence or absence of the biological information to be measured.
The alarm may include at least one of a vital alarm that is output in abnormality of the biological information and a technical alarm that is output in abnormality of the biological information monitoring apparatus, the detector, or measurement environment.
A configuration related to a first example of responding information (hereinafter, referred to as action message) in the invention will be described with reference to
The left side of
Each time when one of the illustrated technical alarms is generated, visual alarms such as “CHECK PROBE”, “CHECK ELECTRODES”, “DISABLED PULSE WAVE DETECTION”, or the like is displayed in a display area for this patient of the biological information monitoring apparatus, and also an auditory alarm is generated as required.
In this state, however, it is impossible to distinguish whether this state is caused by a case where, when the patient moves because of rolling over during measurement, the contact state is temporarily impaired, or the sensor is temporarily detached, or that where, after the contact state is temporarily impaired or the sensor is once detached, the sensor is returned to its normal state by the motion of the patient.
In the biological information monitoring apparatus, in the case where a technical alarm such as those shown in the left side of
Condition for displaying an action message based on the generation frequency, the generation number, the duration time, the integration time, and the like of the technical alarms shown in
Before the accumulated generation number of technical alarms related to the SpO2 or the ECG for one hour reaches five, an action message is not displayed in the display area for this patient of the biological information monitoring apparatus as shown in (a) to (b) in the right side of
At the timing when the accumulated generation number of technical alarms related to the SpO2 for one hour reaches five, as shown in (c) in the right side of
The action message which is displayed in this case is requested to instruct/suggest a medical person to expedite the check of the SpO2 probe so as to escape from the state of the generated technical alarm (to cancel the state of the generated technical alarm), and a more specific one such as “AGAIN ATTACH SpO2 PROBE” or “REPLACE TAPE OF SpO2 PROBE” may be more preferable. The action massage may provide the medical person with means for canceling the state of the generated technical alarm.
Therefore, even an inexperienced medical person can easily know an action to deal with the generated technical alarm, and hence the work efficiency can be improved.
Next, also at the timing when the accumulated generation number of technical alarms related to the SpO2 for one hour reaches six, as shown in (d) in the right side of
In the case where, after the accumulated generation number of technical alarms related to the SpO2 for one hour reaches six, a further technical alarm related to the SpO2 is not generated within one hour from the second generation timing of “CHECK PROBE”, the condition that the accumulated generation number within one hour is five is not satisfied, the action message of “CHECK ATTACHMENT STATE OF SpO2 PROBE” is not displayed in the display area for this patient of the biological information monitoring apparatus. This state is not shown in the figures.
Next, at the timing when the accumulated generation number of technical alarms of “CHECK ELECTRODES” related to the ECG for one hour reaches five, as shown in (e) in the right side of
In a similar manner as described above, the action message displayed in this case is requested to instruct/suggest a medical person to expedite the check of the ECG electrodes so as to cancel the state of the generated technical alarm, and a more specific one such as “ATTACH NEW ELECTRODES” or “CHANGE ATTACH POSITIONS OF ELECTRODES” may be more preferable.
Next, also at the timing when the accumulated generation number of technical alarms related to the ECG for one hour reaches six, as shown in (f) in the right side of
Next, also at the timing when the accumulated generation number of technical alarms related to the ECG for one hour reaches seven, as shown in (g) in the right side of
When a technical alarm related to the SpO2 or the ECG is not generated for one hour or longer, an action message is not displayed in the display area for this patient of the biological information monitoring apparatus as shown in (h) in the right side of
In the case where a technical alarm of “CHECK PROBE” related to the SpO2 continues for one minute or longer, as shown in (i) in the right side of
In the biological information monitoring apparatus, when a technical alarm that is output in abnormality of the biological information monitoring apparatus or a sensor is displayed on a displaying unit, as described above, it is possible to output an action message in which a situation where a technical alarm is generated in past is considered. Therefore, it is possible to distinguish whether this state is caused by a case where, when the patient moves because of rolling over during measurement, the contact state of the sensor (probe, electrodes, or the like) is temporarily impaired, or the sensor is temporarily detached, or that where the sensor is immediately returned to its normal state. Consequently, a medical person who monitors the patient through the biological information monitoring apparatus in a nurse's station can adequately respond to the alarm.
Although, in the above, the description is made with respect to a technical alarm that is output in abnormality of the biological information monitoring apparatus or a sensor, it is a matter of course that the invention can be applied also to a vital alarm that is output in abnormality of a detection value of biological information of the patient or a value which is obtained by processing the detection value.
Although, in the above, the description is made with respect to “action message” which is displayed in characters, the display manner is not limited to a character display but may use also another display mode such as graphics, graphs, or photographs.
The display screen of an action message is displayed on the displaying unit in a display mode in which the action message is not superimposed on an alarm display. This is preferable because the alarm display is not disturbed.
In the display of an action message on the displaying unit, a display mode which is intended to attract the attention of a medical person may be employed such as that a plurality of levels are set as conditions for displaying the action message, and a visual display such as different colors, a blinking display, or an inverted display is used in accordance with the preset one of the plurality of levels.
As described above, with respect to the first example of the responding information, a medical person can automatically obtain responding information corresponding to the generated alarm, without performing a special operation.
Next, a configuration related to a second example of responding information (hereinafter, referred to as guide screen) in the invention will be described.
An example in which a guide function including the guide screen is added will be described with reference to
In the display area in
In the display area in
When a medical person selects (clicks) the guide key in this state, the display screen of the biological information monitoring apparatus is changed to the state of
In
When the guide information is displayed, a sound may be produced. In the case where an alarm sound for the technical alarm is generated, the sound for the guide information which is generated when the guide information is displayed is preferably different from the alarm sound.
By the graphically illustrated guide information of
In place of displaying the guide key, the display may be changed to the state of
In the display area of the biological information monitoring apparatus shown in
In the display area in
When a medical person selects (clicks) the guide key in this state, the display screen of the biological information monitoring apparatus is changed to the state of
In
By the graphically illustrated guide information of
Similarly with the case of the first example of the responding information, preferably, the displayed guide screen is displayed so as not to be superimposed on an alarm which has been already displayed.
In the case where the guide screen is a dialog window configured by a plurality of pages such as shown in
In the examples of
In this state, on the screen, “ATTACHMENT OF ELECTRODES” is displayed as “HINT” item, and “NOISES”, “DISABLED ANALYSIS”, and “CHECK ELECTRODES” are displayed as “HELP” items.
When “CHECK ELECTRODES” button is selected (clicked) in this state, the display screen of the biological information monitoring apparatus is changed to the state of
In
By the graphically illustrated guide information of
In the descriptions of
In the descriptions of
As described above, with respect to the second example of the responding information in the invention, a medical person is enabled to spontaneously obtain responding information corresponding to the generated alarm, by an operation which is performed by the medical person itself.
Next, a configuration related to a third example of responding information (hereinafter, referred to as pop-up navigation) in the invention will be described.
An example in which a pop-up navigation function including the pop-up navigation is added will be described with reference to
Here, “TEMPORARY ROOM LEAVING” is a setting which is used for suspending the measurement which is performed on the patient through the biological information monitoring apparatus, because of inspection. “BED LEAVING” is a setting which is used in the case where the measurement through the biological information monitoring apparatus is ended because, for example, the patient is discharged from the hospital. “ECG OFF” is a setting which is used in the case where the ECG measurement is unnecessary temporarily or permanently in accordance with the symptom severity or the like of the patient.
In a similar manner as the above-described guide key, “TEMPORARY ROOM LEAVING”, “BED LEAVING”, and “ECG OFF” shown in
With respect to KOHDEN Jiro, the alarm of “INTERRUPTION OF RADIO WAVE” is generated, and the alarm is continued for five minutes or longer. Therefore, “TEMPORARY ROOM LEAVING” and “BED LEAVING” which are seemed to be next operated by the user (or requested to be operated) are displayed.
With respect to all KOHDEN Matsuko, KOHDEN Umeko, and KOHDEN Saburo, the alarm of “CHECK ELECTRODES” is generated, and the alarm is continued for five minutes or longer. However, different sets of responding information are displayed for the three patients. This is an example showing that the responding information display controlling unit can determine further responding information which is to be displayed in accordance with respective states.
With respect to KOHDEN Matsuko, when the alarm of “CHECK ELECTRODES” is generated, the responding information display controlling unit detects that biological information such as the ECG and the pulse wave is not measured, and further responding information of “TEMPORARY ROOM LEAVING” and “BED LEAVING” is displayed.
With respect to KOHDEN Umeko, when the alarm of “CHECK ELECTRODES” is generated, the responding information display controlling unit detects that the ECG is not measured but other biological information such as the pulse wave is measured, “TEMPORARY ROOM LEAVING” and “BED LEAVING” are not displayed, but further responding information of “ECG OFF” is displayed.
With respect to KOHDEN Saburo, when the alarm of “CHECK ELECTRODES” is generated, the responding information display controlling unit fails to determine responding information to be displayed, and in this case all sets of possible further information are displayed.
As described above, further responding information to be displayed as the pop-up navigation may have a configuration which is determined by the responding information display controlling unit, or that which can be previously set by the user.
When the pop-up navigation of “TEMPORARY ROOM LEAVING” in
When the pop-up navigation of “ROOM LEAVING” in
When the pop-up navigation of “ECG OFF” in
As described above, in the third example of the responding information in the invention, further responding information which corresponds to the generated alarm, and which is possibly next operated can be selectively acquired by a medical person, and an operation which is required for cancelling the alarm is expedited, whereby the alarm can be finally cancelled.
According to an aspect of the invention, a vital alarm that is output in abnormality of a detection signal, or a technical alarm that is output in abnormality of the biological information monitoring apparatus, a sensor, or the measurement environment is displayed on the displaying unit, and it is possible to display, after the vital alarm or the technical alarm is displayed, an action message or a guide screen as responding information that corresponds to the vital alarm or the technical alarm, or a pop-up navigation as further responding information, on the displaying unit.
When a vital alarm that is output in abnormality of a detection signal, or a technical alarm that is output in abnormality of the biological information monitoring apparatus, a sensor, or the measurement environment is displayed on the displaying unit, it is possible to output responding information in which a situation where a vital alarm or a technical alarm is generated in past is considered.
In the invention, it is possible to display an action message or a guide screen as responding information that corresponds to the vital alarm or the technical alarm, or a pop-up navigation as further responding information, on the displaying unit. Therefore, even an inexperienced medical person can respond the generated alarm without hesitation.
Number | Date | Country | Kind |
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2009-233753 | Oct 2009 | JP | national |
2010-155911 | Jul 2010 | JP | national |
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Number | Date | Country | |
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