CN104939992B - An Intelligent Mobile System for Radiological Examination of Critically Ill Patients - Google Patents
An Intelligent Mobile System for Radiological Examination of Critically Ill Patients Download PDFInfo
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Abstract
Description
技术领域technical field
本发明涉及一种智能移动系统,具体涉及一种能通过佩带在患者身体上的射频卡直接和医院总信息系统以及科室的放射信息系统通讯,同时能准确地将患者从病房推车或抢救推车上平稳的移动到CT的诊断床上,替代了传统人工抬动的方式的用于危重患者放射检查的智能移动系统。The invention relates to an intelligent mobile system, in particular to a radio frequency card worn on the patient's body, which can directly communicate with the general information system of the hospital and the radiation information system of the department, and can accurately push the patient from the ward or rescue The car moves smoothly to the CT diagnosis bed, replacing the traditional manual lifting method for the intelligent mobile system used for radiological examination of critically ill patients.
背景技术Background technique
随着医院医疗人群的快速增长,急性脑卒中危重患者、高龄患者以及腰椎颈椎这些移动存在障碍的检查患者也不断增加。(这里主要指将患者安全的从病床推车上移动到CT的诊断床上)。尤其是在一些群体意外情况发生时(如交通事故,高楼坠落等情况)这样的患者会更多。据对上海浦东新区一家综合医院放射医生的了解显示:每天大约有8—10%的患者是属于上述情况中的。有时候碰到一些脑血管意外的患者同样也存在轻抬轻放的问题,额而碰到一些重体重的患者,移动问题更是明显存在。上海浦东某医院曾经遇上一名体重超过200公斤的脑意外患者,CT诊断室找来六个人都难以摆放到准确位置。因此如何平安的将这部分患者从病房推车或抢救推车上平稳的移动到CT的诊断床上一直是一个难以解决的问题。With the rapid growth of the medical population in the hospital, the number of critically ill patients with acute stroke, elderly patients, and examination patients with obstacles in the movement of the lumbar and cervical spine is also increasing. (Here mainly refers to moving the patient safely from the bed trolley to the CT diagnosis bed). Especially when some group accidents occur (such as traffic accidents, falling from tall buildings, etc.), there will be more such patients. According to the understanding of radiologists in a general hospital in Pudong New District, Shanghai, about 8-10% of patients fall into the above-mentioned situations every day. Sometimes patients with cerebrovascular accidents also have the problem of lifting gently, and when encountering some heavy patients, the problem of movement is even more obvious. A hospital in Pudong, Shanghai once encountered a patient with a brain accident weighing more than 200 kilograms. It was difficult for six people in the CT diagnosis room to place it in an accurate position. Therefore, how to safely move these patients from the ward trolley or the rescue trolley to the CT diagnostic bed has always been a difficult problem to solve.
放射信息系统(RIS-radiology information system)是医院最重要的信息系统之一,其与PACS(影像存档与通讯系统)共同构成医学影像学信息化环境,一套完善的影像科室信息系统要求对影像科室整体工作流(workflow)进行管理、控制和操作。Radiology information system (RIS-radiology information system) is one of the most important information systems in the hospital. Together with PACS (Image Archiving and Communication System), it constitutes a medical imaging information environment. A complete imaging department information system requires image The overall workflow of the department is managed, controlled and operated.
发明内容Contents of the invention
针对上述问题,本发明的主要目的在于提供一种能通过佩带在患者身体上的射频卡直接和医院总信息系统以及科室的放射信息系统通讯,同时能准确地将患者从病房推车或抢救推车上平稳的移动到CT的诊断床上,替代了传统人工抬动的方式的用于危重患者放射检查的智能移动系统。In response to the above problems, the main purpose of the present invention is to provide a radio frequency card worn on the patient's body that can directly communicate with the general information system of the hospital and the radiology information system of the department, and can accurately push the patient from the ward or rescue. The car moves smoothly to the CT diagnosis bed, replacing the traditional manual lifting method for the intelligent mobile system used for radiological examination of critically ill patients.
本发明是通过下述技术方案来解决上述技术问题的:一种用于危重患者放射检查的智能移动系统,所述智能移动系统包括:信息系统、病床系统、智能液压升降系统;The present invention solves the above-mentioned technical problems through the following technical solutions: an intelligent mobile system for radiological examination of critically ill patients, the intelligent mobile system includes: an information system, a hospital bed system, and an intelligent hydraulic lifting system;
所述信息系统包括医院总信息系统、科室的放射信息系统系统和佩带在患者身体上的射频卡;医院总信息系统和科室的放射信息系统系统通过有线或无线方式连接,佩带在患者身体上的射频卡通过无线方式与医院总信息系统连接;同时佩带在患者身体上的射频卡通过无线方式与科室的放射信息系统系统连接;The information system includes the general information system of the hospital, the radiation information system of the department and the radio frequency card worn on the patient's body; the general information system of the hospital and the radiation information system of the department are connected by wired or wireless means, and the The radio frequency card is connected to the general information system of the hospital through wireless; at the same time, the radio frequency card worn on the patient's body is connected to the radiology information system of the department through wireless;
所述病床系统包括患者的病床和安装在病床上的感应系统;The bed system includes a patient's bed and an induction system installed on the bed;
所述智能液压升降系统为对患者的病床的位置进行调节的系统。The intelligent hydraulic lifting system is a system for adjusting the position of the patient's bed.
在本发明的一个具体实施例子中,所述信息系统以医院信息管理系统(HIS)为基础,以无线局域网技术和RFID技术为核心,由安装在智能移动系统上的RFID射频读卡器,在病房推车进入CT检查室之后,自动和佩带在患者身体上的射频卡自动进行患者信息对接测试;数据终端进行统一管理;完成识别后系统启动;智能升压系统在进行一系列位置修正后将举重臂准确的插入可移动床板下面的凹槽中,进行上升动作,在上升位置达到病房推车可推出标志时,智能移动系统发出病房推车退出的提示,动作完成后,智能移动系统靠近CT床,将可移动床板上的患者放到CT诊断床上,通过一系列微调,在确认位置的准确后开始并完成CT影像检查。In a specific implementation example of the present invention, the information system is based on the hospital information management system (HIS), with wireless local area network technology and RFID technology as the core, and the RFID radio frequency card reader installed on the intelligent mobile system. After the trolley in the ward enters the CT examination room, it will automatically conduct a docking test of patient information with the radio frequency card worn on the patient's body; the data terminal will be managed in a unified manner; the system will start after the identification is completed; the intelligent booster system will The lifting arm is accurately inserted into the groove under the movable bed board to carry out the upward movement. When the rising position reaches the sign that the ward trolley can be pushed out, the intelligent mobile system will send out a prompt to withdraw the ward trolley. After the movement is completed, the intelligent mobile system will approach the CT. Bed, put the patient on the movable bed board on the CT diagnosis bed, and start and complete the CT imaging examination after confirming the accuracy of the position through a series of fine-tuning.
在本发明的一个具体实施例子中,在智能液压升降系统的正面设计了位置自动调整控制;当患者推车进入CT室之后,红外系统开始工作驱动位置步进马达自动调整与床的高度;达到相同高度时升降臂开始工作在完成将可移动床升高于3-8CM位置时系统发出提示,将病床移开,在病床移开之后,液压升降系统工作靠近CT诊断床,平稳的将患者连同可移动床一起放在CT诊断床上;然后返回原位待命;患者则进入CT检查程序。In a specific implementation example of the present invention, an automatic position adjustment control is designed on the front of the intelligent hydraulic lifting system; when the patient cart enters the CT room, the infrared system starts to work and drives the stepping motor to automatically adjust the position and the height of the bed; At the same height, the lifting arm starts to work. When the movable bed is raised above the position of 3-8CM, the system sends out a prompt to move the bed away. After the bed is moved away, the hydraulic lifting system works close to the CT diagnosis bed, and the patient and The movable bed is placed on the CT diagnosis bed together; then return to the original position and stand by; the patient enters the CT examination procedure.
在本发明的一个具体实施例子中,RFID的射频非接功能和无线传输系统对患者信息的再次确认。In a specific implementation example of the present invention, the radio frequency non-contact function of the RFID and the reconfirmation of the patient information by the wireless transmission system.
在本发明的一个具体实施例子中,患者的病床包括:可移动床板、安装可移动床板的框架、支撑框架的支架、支架下方的移动装置、升降可移动床板的能移动的智能液压升降系统。In a specific implementation example of the present invention, the patient's bed includes: a movable bed board, a frame for installing the movable bed board, a bracket supporting the frame, a moving device under the bracket, and a movable intelligent hydraulic lifting system for lifting the movable bed board.
在本发明的一个具体实施例子中,所述移动装置为滚轮。In a specific implementation example of the present invention, the moving device is a roller.
在本发明的一个具体实施例子中,所述在滚轮和支架之间安装有减震弹簧。In a specific implementation example of the present invention, a damping spring is installed between the roller and the bracket.
在本发明的一个具体实施例子中,所述可移动床板上安装有若干凸起条、框架上开有和上述凸起条配套的凹槽。In a specific implementation example of the present invention, several protruding strips are installed on the movable bed board, and grooves matched with the above protruding strips are formed on the frame.
本发明的积极进步效果在于:本发明提供的用于危重患者放射检查的智能移动系统具有以下优点:本发明能通过佩带在患者身体上的射频卡直接和医院总信息系统以及科室的放射信息系统通讯,节省了患者的时间,使患者能及时准确的得到治疗,同时能准确地将患者从病房推车或抢救推车上平稳的移动到CT的诊断床上,替代了传统人工抬动的方式,节省了人力,提高了效率。The positive progress effect of the present invention is that: the intelligent mobile system used for the radiation examination of critically ill patients provided by the present invention has the following advantages: the present invention can directly communicate with the general information system of the hospital and the radiation information system of the department through the radio frequency card worn on the patient's body Communication saves the patient's time, enables the patient to receive timely and accurate treatment, and at the same time accurately and smoothly moves the patient from the ward trolley or rescue trolley to the CT diagnosis bed, replacing the traditional manual lifting method. Save manpower and improve efficiency.
附图说明Description of drawings
图1为本发明的总体结构示意图。Fig. 1 is a schematic diagram of the overall structure of the present invention.
图2为本发明中可移动床板的结构示意图。Fig. 2 is a structural schematic diagram of the movable bed board in the present invention.
图3为本发明中可移动床的结构示意图。Fig. 3 is a schematic diagram of the structure of the movable bed in the present invention.
图4为本发明中智能液压升降系统的结构示意图。Fig. 4 is a structural schematic diagram of the intelligent hydraulic lifting system in the present invention.
具体实施方式detailed description
下面结合附图给出本发明较佳实施例,以详细说明本发明的技术方案。The preferred embodiments of the present invention are given below in conjunction with the accompanying drawings to describe the technical solution of the present invention in detail.
图1为本发明的结构示意图,如图1所示,本发明包括提供了一种适合这些危重患者安全可靠地进行CT检查的智能移动装置,更新并替代传统人工抬动的原始处理流程。本发明基于RFID技术的影像检查智能化升降系统和医院信息系统相结合。通过患者手腕上携带的微型电子标签在进入检查区域时与检查技师发出的预诊信息关联时,诊室门口的感应器接受到患者信息发出三个有效信号:Fig. 1 is a structural schematic diagram of the present invention. As shown in Fig. 1, the present invention includes providing an intelligent mobile device suitable for safe and reliable CT examination of these critically ill patients, updating and replacing the original processing flow of traditional manual lifting. The present invention combines the image inspection intelligent lifting system based on RFID technology with the hospital information system. When the miniature electronic tag carried on the patient's wrist is associated with the pre-diagnosis information sent by the examination technician when entering the examination area, the sensor at the door of the consultation room receives the patient's information and sends three effective signals:
1:打开诊室大门,将患者放入检查诊室内。1: Open the door of the consultation room and put the patient into the examination room.
2:信息通过和Ris系统关联,进入检查设备内的Worklist,操作台上显示病人要检查的内容,进入检查准备。2: The information is associated with the Ris system and enters the Worklist in the inspection equipment, and the content to be inspected by the patient is displayed on the console, and enters the inspection preparation.
3:启动智能升降系统,将医院信息系统和智能升降移动系统无缝的链接起来,将患者从推车上移动到CT诊断床上。弥补以前人工抬动处理的种种不足之处,给危重患者提供优质、安全的移动服务,保证CT检查的顺利进行。提升科室服务水平,减少不必要的医疗纠纷。3: Start the intelligent lifting system, seamlessly link the hospital information system and the intelligent lifting and moving system, and move the patient from the cart to the CT diagnosis bed. It makes up for the various deficiencies in the previous manual lifting process, provides high-quality and safe mobile services for critically ill patients, and ensures the smooth progress of CT examinations. Improve the service level of departments and reduce unnecessary medical disputes.
在具体的实施过程中,实施本发明需要三个系统:In concrete implementation process, implementing the present invention needs three systems:
一是信息系统、二是病床系统、三是智能液压升降系统;One is the information system, the other is the hospital bed system, and the third is the intelligent hydraulic lifting system;
信息系统包括医院总信息系统、科室的放射信息系统系统和佩带在患者身体上的射频卡;医院总信息系统和科室的放射信息系统系统通过有线或无线方式连接,佩带在患者身体上的射频卡通过无线方式与医院总信息系统连接;同时佩带在患者身体上的射频卡通过无线方式与科室的放射信息系统系统连接。The information system includes the general information system of the hospital, the radiation information system of the department and the radio frequency card worn on the patient's body; the general information system of the hospital and the radiation information system of the department are connected by wired or wireless means, and the radio frequency card worn on the patient It is connected with the general information system of the hospital through wireless; at the same time, the radio frequency card worn on the patient's body is connected with the radiology information system of the department through wireless.
病床系统包括患者的病床和安装在病床上的感应系统。The bed system includes a patient's bed and an induction system installed on the bed.
智能液压升降系统为对患者的病床的位置进行调节的系统。The intelligent hydraulic lifting system is a system for adjusting the position of the patient's bed.
1:信息系统1: Information system
以医院信息系统和科室的RIS系统共同组成:系统是以医院信息管理系统(HIS)为基础,以先进的无线局域网技术和RFID技术为核心,由安装在智能移动系统上的RFID射频读卡器,在病房推车进入CT检查室之后,自动和患者手腕上的射频卡自动进行患者信息对接测试,数据终端进行统一管理。完成识别后系统启动。智能升压系统在进行一系列位置修正后将举重臂准确的插入可移动床板下面的凹槽中,进行上升动作,在上升位置达到病房推车可推出标志时,系统发出病房推车退出的提示,动作完成后,智能移动系统靠近CT床,将可移动床板上的患者放到CT诊断床上,通过一系列微调,在确认位置的准确后开始并完成CT影像检查。Composed of the hospital information system and the RIS system of the department: the system is based on the hospital information management system (HIS), with advanced wireless local area network technology and RFID technology as the core, and the RFID radio frequency card reader installed on the intelligent mobile system , after the trolley in the ward enters the CT examination room, it automatically conducts a patient information docking test with the radio frequency card on the patient's wrist, and the data terminal performs unified management. After the recognition is complete, the system starts up. After a series of position corrections, the intelligent boosting system will accurately insert the lifting arm into the groove under the movable bed board to perform an upward movement. When the rising position reaches the sign that the ward trolley can be pushed out, the system will issue a prompt to withdraw the ward trolley , After the action is completed, the intelligent mobile system approaches the CT bed, puts the patient on the movable bed board on the CT diagnostic bed, and through a series of fine-tuning, starts and completes the CT imaging examination after confirming the accuracy of the position.
2:病床系统2: Hospital bed system
图2为本发明中可移动床板的结构示意图。图3为本发明中可移动床的结构示意图。图4为本发明中智能液压升降系统的结构示意图。如图2-4所示:本发明中的病床与普通床基本相似,上面的可移动床板包括:可移动床板1、安装可移动床板1的框架2、支撑框架2的支架3、支架下方的移动装置4、升降可移动床板1的可以移动的智能液压升降系统5。在具体的实施过程中,移动装置一般可以为滚轮。本发明考虑到推车上躺着的都是一些危重患者特在滚轮和支架3之间安装有减震弹簧(图中没有示意出)。可移动床板1上安装有若干凸起条101、框架2上开有和上述凸起条101配套的凹槽201。床板设计采用优质工程塑料,不影响射线的穿透,也不会造成伪影,经过质控部们检测,完全不影响图像质量保证临床医生的诊断。Fig. 2 is a structural schematic diagram of the movable bed board in the present invention. Fig. 3 is a schematic diagram of the structure of the movable bed in the present invention. Fig. 4 is a structural schematic diagram of the intelligent hydraulic lifting system in the present invention. As shown in Figures 2-4: the hospital bed in the present invention is basically similar to an ordinary bed, and the movable bed board above includes: a movable bed board 1, a frame 2 for installing the movable bed board 1, a bracket 3 for supporting the frame 2, and a bracket below the bracket. Mobile device 4, movable intelligent hydraulic lifting system 5 for lifting and lowering movable bed board 1. In a specific implementation process, the moving device may generally be a roller. The present invention considers that lying on the stroller is all some critically ill patients, and shock absorbing springs (not shown among the figures) are specially installed between the rollers and the support 3 . A plurality of protruding strips 101 are installed on the movable bed board 1, and grooves 201 matched with the above protruding strips 101 are opened on the frame 2. The bed board is designed with high-quality engineering plastics, which will not affect the penetration of rays and will not cause artifacts. After the inspection by the quality control department, it will not affect the image quality at all to ensure the diagnosis of clinicians.
3:智能液压升降系统3: Intelligent hydraulic lifting system
最大载重量设计为250㎏,在系统的正面设计了位置自动调整控制。当患者推车进入CT室之后,红外系统开始工作驱动位置步进马达自动调整与床的高度。达到相同高度时升降臂开始工作在完成将可移动床升高于5CM位置时系统发出提示,将病床移开,在病床移开之后,液压升降系统工作靠近CT诊断床,平稳的将患者连同可移动床一起放在CT诊断床上;然后返回原位待命。患者则进入CT检查程序。The maximum load capacity is designed to be 250kg, and the position automatic adjustment control is designed on the front of the system. When the patient trolley enters the CT room, the infrared system starts to work and drives the position stepping motor to automatically adjust the height to the bed. When reaching the same height, the lifting arm starts to work. When the movable bed is raised above the 5CM position, the system sends out a prompt to move the bed away. After the bed is moved away, the hydraulic lifting system works close to the CT diagnosis bed, and the patient and the patient can be moved smoothly. Put the mobile bed together on the CT diagnosis bed; then return to the original position and stand by. The patient then entered the CT examination procedure.
智能移动系统创造了更为优越CT检查环境,RFID的射频非接功能和无线传输系统对患者信息的再次确认,更进一步减少了可能出现的医疗差错。为CT检查患者的诊断提供了更可靠的保证,智能移动系统为危重患者的CT诊断提供了一种技术先进、安全可靠、切实可行的解决方案,开创了危重患者CT诊断的位置搬运的新模式,使医院一切以患者为中心的优质服务理念得到了充分的体现。The intelligent mobile system creates a more superior CT examination environment, and the radio frequency contactless function of RFID and the reconfirmation of patient information by the wireless transmission system further reduce possible medical errors. It provides a more reliable guarantee for the diagnosis of CT examination patients. The intelligent mobile system provides a technologically advanced, safe, reliable and practical solution for the CT diagnosis of critically ill patients, and creates a new mode of position handling for CT diagnosis of critically ill patients. , so that all the hospital's patient-centered high-quality service concepts have been fully reflected.
以上显示和描述了本发明的基本原理和主要特征和本发明的优点。本行业的技术人员应该了解,本发明不受上述实施例的限制,上述实施例和说明书中描述的只是说明本发明的原理,在不脱离本发明精神和范围的前提下,本发明还会有各种变化和改进,这些变化和改进都落入要求保护的本发明范围内,本发明要求保护范围由所附的权利要求书及其等效物界定。The basic principles and main features of the present invention and the advantages of the present invention have been shown and described above. Those skilled in the industry should understand that the present invention is not limited by the above-mentioned embodiments. What are described in the above-mentioned embodiments and the description only illustrate the principle of the present invention. Without departing from the spirit and scope of the present invention, the present invention will also have Various changes and improvements fall within the scope of the claimed invention, which is defined by the appended claims and their equivalents.
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