SYSTEM AND METHOD FOR MONITORING AND RESPONDING TO A CEREBROVASCULAR ACCIDENT
20220192581 · 2022-06-23
Assignee
Inventors
Cpc classification
G16H10/60
PHYSICS
A61B5/0205
HUMAN NECESSITIES
A61B5/746
HUMAN NECESSITIES
A61B5/1123
HUMAN NECESSITIES
A61B2562/0219
HUMAN NECESSITIES
G16H50/30
PHYSICS
International classification
A61B5/00
HUMAN NECESSITIES
G16H10/60
PHYSICS
Abstract
A system for monitoring and responding to a cerebrovascular accident includes a computer, including a computer processor and a computer transceiver, a storage that stores personal medical information and a risk level, and a portable device attached to a user. When the computer transceiver receives personal medical information of the user, the computer processor calculates the risk level of a cerebrovascular accident based on the personal medical information. When the computer transceiver receives acceleration information, the computer processor determines whether to contact a predetermined contact based on the risk level and the personal medical information. The portable device includes an acceleration sensor, a position receiver, a clock, a portable transceiver, and a portable processor.
Claims
1. A system for monitoring and responding to a cerebrovascular accident, comprising: a computer comprising a computer processor and a computer transceiver, wherein, when the computer transceiver receives personal medical information of a user, the computer processor calculates a risk level of a cerebrovascular accident based on the personal medical information, and wherein, when the computer transceiver receives acceleration information, the computer processor determines whether to contact a predetermined contact based on the risk level and the personal medical information; a storage that stores the personal medical information and the risk level; and a portable device attached to the user, comprising: an acceleration sensor that outputs user's abnormal movement signals; a position receiver that calculates position information of the user; a clock that outputs time information; a portable transceiver that transmits the position information, the acceleration information based on the user's abnormal movement signals, and the time information to the computer; and a portable processor that receives signals from the acceleration sensor, the position receiver, and the clock and that controls the portable transceiver, wherein the computer, the storage, and the portable device are connected to each other via a computer network.
2. The system according to claim 1, wherein the portable device further comprises a biological sensor that outputs biological information of the user, the portable transceiver transmits the biological information, the position information, and the time information to the computer.
3. The system according to claim 2, wherein the computer processor further: updates the personal medical information to append the biological information or the acceleration information upon receiving the biological information or the acceleration information of the user; and recalculates the risk level based on the updated personal medical information.
4. The system according to claim 3, wherein the portable device further comprises an output device that outputs health information based on an instruction from the computer.
5. The system according to claim 4, wherein the computer processor further transmits the instruction when the received biological information or the acceleration information is within a notification range based on the risk level.
6. The system according to claim 4, wherein the computer processor: determines a risk pattern that is applied where a predetermined combination of risk factors of the personal medical information is within notification ranges respectively, and transmits the instruction based on the risk pattern when the personal medical information is updated.
7. The system according to claim 6, wherein the computer processor transmits the instruction based on the risk pattern periodically.
8. The system according to claim 4, wherein the output device is at least one of a display, a sound speaker, and a vibration device.
9. The system according to claim 4, wherein the computer processor: causes the output device to output question information; receives answer information in response to the question information; and stores the answer information to the storage as a part of the personal medical information.
10. The system according to claim 4, wherein the biological sensor comprises a pedometer, and the computer processor causes the output device to output a warning of lack of exercise when a value indicated by the pedometer is within a notification range.
11. The system according to claim 4, wherein the biological sensor comprises a blood-pressure gauge, and the computer processor causes the output device to output a warning when a blood pressure while sleeping is not lower than the blood pressure in day time.
12. The system according to claim 4, wherein the biological sensor comprises a blood-pressure gauge, and the computer processor causes the output device to output a warning when a blood pressure indicated by the blood-pressure gauge is within a notification blood-pressure range.
13. The system according to claim 4, wherein the computer processor causes the output device to output a warning upon determining a gait abnormality based on a signal from at least one of the acceleration sensor, the position receiver, and a pedometer.
14. The system according to claim 4, wherein the biological sensor comprises a microphone, and the computer processor causes the output device to output a warning upon determining a language abnormality based on signals from the microphone.
15. The system according to claim 4, wherein the biological sensor comprises an electrocardiograph, and the computer processor causes the output device to output a warning upon determining an irregular heartbeat based on signals from the electrocardiograph.
16. The system according to claim 1, wherein the portable device further comprises a plurality of buttons, and the portable transceiver transmits an emergency operation information when the plurality of buttons are held down.
17. The system according to claim 1, wherein the portable transceiver transmits cancel operation information when the portable processor receives a cancel operation of the user, the computer processor stops a process to contact one or more suitable hospitals and/or the predetermined contact when the computer transceiver receives the cancel operation information.
18. The system according to claim 1, wherein the personal medical information includes medical record information received from at least one of a medical office, a health check result received from a medical office, and a genetic test result received from a genetic testing company.
19. The system according to claim 1, wherein the computer transceiver transmits supplemental information together with the position information and the time to one or more suitable hospitals and/or the predetermined contact when the computer processor contacts the predetermined contact.
20. The system according to claim 19, wherein the computer processor further determines which of cerebral infarction or cerebral hemorrhage is more likely based on the personal medical information, and the supplemental information includes the determination of higher possibility.
21. The system according to claim 19, wherein the storage stores at least one of information items of physical address of the user, commuting route, information about a resident house, and accessibility of the resident house, the computer processor determines whether an emergency status occurs at the resident house of the user by comparing between the position information and the physical address of the user, and the computer transceiver transmits, when the computer processor determines that the emergency status occurs at the resident house of the user, at least one of the information about the resident house and the accessibility of the resident house as the supplemental information.
22. The system according to claim 19, further comprising: a hospital database storage that stores hospital data including at least one of information items of name of hospital, location information of the hospital, repeatedly updated hospital's availability for urgent treatment, possibility of advanced medical treatment, and name of doctor, wherein the computer processor selects nearest hospitals from the position of the user among the hospital data when the computer processor determine that the personal medical information indicates that the user does not have any history of cerebral infarction or cerebral hemorrhage, or the user does not have any history of cerebral infarction in a large vessel even if the user had cerebral infarction in a past and the computer transceiver transmits the hospital data of the nearest hospitals as the supplemental information.
23. The system according to claim 19, further comprising: a hospital database storage that stores hospital data including at least one of information items of name of hospital, location information of the hospital, repeatedly updated hospital's availability for urgent treatment at that time, possibility of advanced medical treatment, and name of doctor, wherein the computer processor selects hospitals that serve the advanced medical treatment from the nearest hospitals the computer processor selects from the position of the user among the hospital data when that the personal medical information indicates that the user has a history of cerebral infarction in the large vessel, the computer transceiver transmits the advanced medical treatment hospital data of the nearest hospitals as the supplemental information.
24. The system according to claim 1, wherein the predetermined contact includes at least one of a fire station, a hospital, a family contact, and a work place contact.
25. The system according to claim 1, wherein the portable device is composed of a plurality of devices connecting through wired or wireless communication, and the plurality of devices comprises at least one of a wearable device, a smart phone, a display, and a biological sensor.
26. The system according to claim 1, wherein the computer comprises a plurality of computer devices connected to the computer network each other.
27. A computer for monitoring and responding to a cerebrovascular accident, comprising: a computer processor that: receives personal medical information; and calculates a risk level of a cerebrovascular accident based on the personal medical information; and a computer transceiver, wherein when receiving acceleration information from a portable device, the computer processor determines whether to contact a predetermined contact based on the risk level and the acceleration information.
28. A portable device attached to a user, comprising: an acceleration sensor that outputs acceleration signals; a position receiver that calculates position information of the user; a clock that outputs time information; a portable processor that obtains acceleration information from the acceleration sensor; a portable transceiver that transmits the position information, acceleration information based on the acceleration signals, and time to a computer; and an output device that outputs health information based on an instruction from the computer.
29. A method for monitoring a cerebrovascular accident, comprising: receiving personal medical information by a computer; calculating a risk level of cerebrovascular accident based on the personal medical information by the computer; obtaining acceleration information based on acceleration signals from an acceleration sensor by a portable device; determining by the computer, based on the acceleration information and on the risk level, whether to contact predetermined contact; and contacting the predetermined contact when determining to contact predetermined contact.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0015]
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DETAILED DESCRIPTION
[0030] Specific embodiments of the invention will now be described in detail with reference to the accompanying figures. Like elements in the various figures are denoted by like reference numerals for consistency.
[0031] In the following detailed description of embodiments of the invention, numerous specific details are set forth in order to provide a more thorough understanding of the invention. However, it will be apparent to one of ordinary skill in the art that the invention may be practiced without these specific details. In other instances, well-known features have not been described in detail to avoid unnecessarily complicating the description.
[0032]
[0033] In one or more embodiments, the portable device 200 can wirelessly connect to the computer network 2 as shown by signals 200A. Additionally or alternatively, the portable device 200 can wirelessly connect to the computer network 2 through a mobile device 291. The mobile device 291 may be a device, such as a smart phone, that can connect to the computer network 2 through a mobile communication network, and that can also wirelessly connect with the portable device 200 through WiFi® or Bluetooth®. The portable device 200 may be composed of a plurality of devices connected through wired or wireless communication with one another. In this case, the plurality of devices may include at least one of a wearable device, a smart phone, a display, and a biological sensor.
[0034] The portable device 200 is attached to a user. The storage 300 stores personal medical information and a risk level of the user. The information terminals 910 transmit the personal medical information to the computer 100 and can be at least one of a smart phone, a personal computer, and a terminal at a medical office. The predetermined contact 920 can include at least one of a hospital 921, a fire station 922 for ambulance, a family contact 923 of the user, and a work place contact 924 of the user.
[0035]
[0036] The computer transceiver 123 receives personal medical information of the user, and the computer processor 120 calculates a risk level of a cerebrovascular accident based on the personal medical information. When the computer transceiver 123 receives acceleration information (described below), the computer processor 120 determines whether to contact predetermined contact 920 based on the calculated risk level and the user's personal medical information, and the computer transceiver 123 contacts the predetermined contact 920 based on the determination.
[0037]
[0038] The portable processor 220 may include not only CPU but also volatile and non-volatile memory as described above. The portable processor 220 receives signals from the acceleration sensor 204, the position receiver 208, and the clock 207, and controls the portable transceiver 210. The portable transceiver 210 transmits and receives data from the computer network 2. Additionally or alternatively, the portable transceiver 210 may connect to the computer network 2 through the mobile device 291. The acceleration sensor 204 outputs user's abnormal movement signals. The position receiver 208 calculates position information of the user based on data received from, for example, a Global Navigation Satellite System (GNSS). The clock 207 outputs time information. The portable transceiver 210 transmits the biological information, the position information, the acceleration information based on the user's abnormal movement signals, and the time to the computer 100 through the computer network 2.
[0039] The portable storage 230 may store the personal medical information to be transmitted when the portable transceiver 210 cannot connect directly or indirectly to the computer network 2 and/or store information copied from the storage 300 to be utilized in the portable device 200. The output devices 203 may include one or more of a display, a speaker, and/or a vibration device to notify the user of information from the computer 100. The operation buttons 202 can accept a user's operation such as an emergency operation and a cancel operation, which are described below. The pedometer 201 accumulates the number of steps of the user. The microphone 205 senses the user's voice and converts it to digital voice signals. The blood-pressure gauge 206 measures the blood pressure of the user. The electrocardiograph 211 measures the user's heart beat rate. The camera 209 can take digital pictures of the user's face.
[0040]
[0041]
[0042] In one or more embodiments, the computer processor 120 causes the output device 203 to output questions for the user. When the user answers the questions, the portable transceiver 210 transmits the answers to the computer processor 120. When the computer processor 120 receives the answers, the computer processor 120 stores the answers in the storage 300 as a part of the personal medical information.
[0043] When the computer 100 receives the personal medical information, the computer processor 120 calculates the risk level of cerebrovascular accident using the personal medical information (Step S12). If any personal medical information has been previously stored in the storage 300 before the computer processor 120 receives new personal medical information, the computer processor 120 may add the received personal medical information to the stored personal medical information and calculate or recalculate the risk level of cerebrovascular accident based on the integrated personal medical information that includes both the previously-stored and newly-received personal medical information. Alternatively, the computer processor 120 may prioritize calculating the risk level using only the most recent (i.e., newest) personal medical information.
[0044]
[0045]
[0046] The information that makes up each personal medical information can be obtained from various sources such as the medical record information or the portable device 200. Each personal medical information may be stored together with a corresponding date and time stamp as archival record. Alternatively, each personal medical information may be stored together with its corresponding source of information and/or the corresponding location from which the personal medical information is obtained.
[0047] The user's risk level of cerebral infraction and cerebral hemorrhage may be calculated independently or in combination. The risk level may be calculated by various methods, including weighted average. In this example, the risk level is based on the simple average of the scores of each risk factors whose symptom are observed on the user or whose measurement values of the user are within a predetermined range. In one or more embodiments, the risk level may be raised when a predetermined combination of risk factors is simultaneously applicable to a user. The computer processor 120 can also determine whether there is a higher risk of cerebral infarction or cerebral hemorrhage using the calculated risk levels.
[0048] Returning to
[0049]
[0050] When the computer processor 120 determines that the received sensor information is not the acceleration information (Step S101: No) or that the acceleration information does not indicate a fall status (Step S103: No), the computer processor 120 further determines whether the emergency operation on the portable device 200 has been triggered by the user (Step S105). When the computer processor 120 determines that the emergency operation was triggered (Step S105: Yes), the computer processor 120 proceeds to implement the emergency process S200. When the computer processor 120 determines that the emergency operation was not triggered (Step S105: No), the computer processor 120 proceeds to step S106. In one or more embodiments, one example of the emergency operation may be to hold down the predetermined plurality of operation buttons 202 of the portable device 200. When the predetermined plurality of operation buttons 202 are held down, the portable transceiver transmits the emergency operation information to the computer 100.
[0051] After the completion of the emergency process S200, which is described in more detail below in reference to
[0052] In step S106, the computer processor 120 confirms whether the computer 100 receives the biological information or the acceleration information (Step S106). When the computer processor 120 cannot confirm whether the biological information or the acceleration information was received (Step S106: No), the computer processor 120 finishes the sensor information process S100. When the computer processor 120 confirms that the computer 100 received the biological information or the acceleration information (Step S106: Yes), the computer processor 120 proceeds to the information update process S300. After the completion of the information update process S300, the computer processor 120 finishes the sensor information process S100.
[0053]
[0054] When the computer processor 120 confirms that the cancel operation is performed by the user (Step S206: Yes), the fall status is cleared and the emergency process S200 is completed. When the computer processor 120 confirms that the cancel operation is not performed by the user (Step S206: No), the computer processor 120 confirms whether a predetermined time has elapsed (Step S207). When the computer processor 120 confirms that the predetermined time has not elapsed (Step S207: No), the computer processor 120 repeats step S206. When the computer processor 120 confirms that the predetermined time has elapsed (Step S207: Yes), the computer processor 120 proceeds to step S208. As described above, when the computer transceiver 123 receives the cancel operation information, the computer processor 120 can stop a process to contact the most suitable hospital(s) and/or the predetermined contact 920. Here, when the portable processor 220 receives a cancel operation from the user, the portable transceiver 210 transmits the cancel operation information.
[0055] When the risk level of cerebrovascular accident is between 0 to 2 (Step S202: 0 to 2), the computer transceiver 123 transmits an instruction to cause the output device 203 to output an inquiry to the user to confirm whether an emergency has occurred (Step S203). In one or more embodiments, when the risk levels are separately calculated for cerebral infarction and cerebral hemorrhage, the computer processor 120 may proceed to step S203 when both risk levels are between 0 to 2. When the computer transceiver 123 receives a response from the user that an emergency has not occurred (Step S204: No), the fall status is cleared and the emergency process S200 is completed. When the computer transceiver 123 receives a response from the user that emergency has occurred (Step S204: Yes), the computer processor 120 proceeds to step S208.
[0056] In step S208, the computer processor 120 sets the emergency status and obtains supplemental information about the user (Step S400). Then, the computer transceiver 123 informs at least one of the predetermined contacts 920 of the emergency status and transmits the supplemental information together with the position information and the time to the most suitable hospital(s) and/or the predetermined contact 920 (Step S212) when the computer processor 120 contacts the predetermined contact. After step S212, the emergency process S200 is completed.
[0057] Relating to step S400, the computer processor 120 may further determine which possibility is higher, of cerebral infarction or of cerebral hemorrhage, based on the personal medical information. In this case, the supplemental information may include the results of this determination to indicate which has a higher possibility of occurrence, cerebral infraction or cerebral hemorrhage.
[0058] The computer processor 120 may further determine whether an emergency status occurs at the user's residence by comparing the user's position information with the user's physical address. When the computer processor 120 determines that the emergency status occurs at the user's residence, the computer transceiver 123 may transmit at least one of the information about the user's residence and the accessibility of the user's residence as the supplemental information. In this case, the storage 300 may also store at least one of a physical address of the user, a commuting route to the user's residence, information about the user's residence, and accessibility of the user's residence. In the case that the supplemental information includes information relating to the accessibility of the user's residence, it would become easier for the ambulance crew to access the user's residence at the time of an emergency.
[0059] In one or more embodiments, the supplemental information may include information based on the hospital information stored in the hospital database storage 930.
[0060]
[0061] Returning to
[0062]
[0063]
[0064] Returning to step S303 of
[0065]
[0066] In another example, the computer processor 120 determines that a user's blood pressure is high (continuous or intermittent) when a blood pressure indicated by the blood-pressure gauge 206 is within a notification blood-pressure range according to the signals from the blood-pressure gauge 206. In response, the computer transceiver 123 transmits an instruction that causes the output device 203 to display a warning of high blood pressure (when the high blood pressure is intermittent) or long term high blood pressure (when the high blood pressure is continuous). The output device 203 may further display a measured blood pressure and a normal blood pressure as shown in
[0067] In another example, when the computer processor 120 determines a lack of exercise when a value indicated by the pedometer 201 is within a notification range, the computer transceiver 123 transmits an instruction that causes the output device 203 to display a warning of lack of exercise with an icon image. The computer processor 120 may determine lack of exercise based on the output of the acceleration sensor 204 instead of the pedometer 201. In this example, although the output content is not different among each of the risk levels, the output content could be differentiated between different risk levels.
[0068] In another example, when the computer processor 120 determines a gait abnormality based on the output of the acceleration sensor 204, the pedometer 201, and/or the position receiver 208, the output device 203 may display a warning of the gait abnormality with an icon image. When the risk level of the user is between 2 to 5, the output device 203 may further display a message prompting the user to get a medical inspection at a hospital. When the risk level of the user is between 4 to 5, the computer transceiver 123 may further inform the user's hospital of the gait abnormality.
[0069] In another example, when the computer processor 120 determines a language abnormality based on the output of the microphone 205, the output device 203 may display a warning of the language abnormality with an icon image. When the risk level of the user is between 2 to 5, the output device 203 may further display a message prompting the user to take get a medical inspection at a hospital. When the risk level of the user is between 4 to 5, the computer transceiver 123 may further inform the user's hospital of the language abnormality.
[0070] In another example, when the computer processor 120 determines an irregular heartbeat based on the output of the electrocardiograph 211, the output device 203 may display a warning of the irregular heartbeat with an icon image. In this case, although the output content is not different among each of the risk levels, the output content could be differentiated between different risk levels.
[0071] In another example, when the computer processor 120 determines a facial distortion based on the output of the camera 209, the output device 203 may display a warning of the facial distortion with an icon. In this case, although the output content is not different among each of the risk levels, the output content could be differentiated between different risk levels.
[0072] The above-described determination of various symptoms by the computer processor 120 may be conducted independently and corresponding warnings may be displayed on the output device 203 in sequence.
[0073] Returning to step S305 of
[0074] In step S307, the computer processor 120 confirms whether there is an applied risk pattern. When the computer processor 120 confirms that there are no applied risk patterns (Step S307: No), the computer processor 120 finishes the information update process S300. When the computer processor 120 confirms that there is an applied risk pattern (Step S307: Yes), the computer transceiver 123 transmits an instruction that causes the output device 203 to output a notification message to the user (Step S308). The message may be predetermined based on the applied risk pattern and the user's risk level. Then, the computer processor 120 finishes the information update process S300. When a risk pattern is applied to the user, the computer processor 120 may periodically transmit an instruction based on the risk pattern.
[0075]
[0076] Risk pattern 2 indicates a risk of cerebral hemorrhage. Risk pattern 2 is determined using the combination of risk factors including antiplatelet therapy, genetic test result, blood inspection, and cerebral hemorrhage risk markers. When risk pattern 2 is applicable to the user, the computer transceiver 123 may regularly transmit an instruction to cause the output device 203 to output a message prompting the user to take a medical checkup of the user's brain.
[0077] Risk pattern 3 in
[0078] Risk pattern 4 in
[0079] In the above-described embodiments, although the computer 100 is described as a single device, the computer 100 may be a plurality of computers (computer devices) that are connected to the computer network 2.
[0080] Although the disclosure has been described with respect to only a limited number of embodiments, those skilled in the art, having benefit of this disclosure, will appreciate that various other embodiments may be devised without departing from the scope. Accordingly, the scope of the invention should be limited only by the attached claims.